TY  - JOUR
PY  - 2017//
TI  - "Horrendoplasty" - a case of total perineal destruction by agricultural implement
JO  - Urology annals
A1  - de Oliveira, Pedro Simoes
A1  - de Oliveira, Tiago Ribeiro
A1  - Martinho, David
A1  - Martins, Francisco
SP  - 403
EP  - 406
VL  - 9
IS  - 4
N2  - Although posterior urethral injury occurs almost always in association with pelvic fracture, it may result from severe trauma to the perineum with its associated potential lethality and severe morbidity. Early primary endoscopic realignment over a urethral catheter can be attempted, although an immediate suprapubic tube placement remains the standard of care. Definitive treatment consists of elective open posterior anastomotic urethroplasty through a perineal approach. The authors present a 53-year-old man who sustained total, massive perineal destruction resulting from work accident with an agricultural implement. Immediate suprapubic tube placement was performed followed by delayed elective transperineal anastomotic posterior urethroplasty. A major multidisciplinary approach was necessary in the management strategy, including orthopedic, general, plastic, vascular surgeries, and reconstructive urology teams. At a later stage, with the patient stabilized and recovered from major, life-threatening lesions dealt with by a multidisciplinary team, urethral reconstruction can be undertaken with ultimate good functional outcomes.<p />  <p>Language: en</p>
LA  - en
SN  - 0974-7796
UR  - http://dx.doi.org/10.4103/UA.UA_92_17
ID  - ref1
ER  -