Long-term outcome of posterior urethral rupture in boys

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dc.contributor.authorOnen, A
dc.contributor.authorÖztürk, H
dc.contributor.authorKaya, M
dc.contributor.authorOtcu, SU
dc.date.accessioned2024-04-24T16:18:33Z
dc.date.available2024-04-24T16:18:33Z
dc.date.issued2005
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives. To evaluate the long-term outcome of posterior urethral rupture due to pelvic trauma. Methods. We retrospectively reviewed the records of 49 children with posterior urethral rupture from 1986 to 2000. The urologic evaluation at the last follow-up visit was made by the same surgeon and included physical examination, ultrasonography, simultaneous retrograde urethrography, and voiding cystourethrography, as well as cystourethroscopy in some cases. The long-term urologic results were determined by voiding function, continence and erectile function, and semen analysis. Results. The mean follow-up was 12 years (range 4 to 17). The average age was 8 years at the time of trauma and 20 years at the last follow-up visit. Primary realignment (22 patients), immediate repair (8), and delayed repair (16) were performed for posterior urethral rupture. Urethral continuity was achieved in 97.9% of patients, and 30 (61.2%) were free of symptoms. The overall rate of long-term complications was significantly greater in patients with a prostatic urethra location injury, and it was similar for the three surgical procedures. Conclusions. The results of our study have shown that, apart from partial injury, all types of surgical treatment are equally problematic, with similar complication rates and long-term morbidity. The procedure of choice should be individualized, depending on the anatomy and the extent of the urethral injury, stability of the patient, and presence of additional injuries.en_US
dc.identifier.doi10.1016/j.urology.2005.01.039
dc.identifier.endpage1207en_US
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.issue6en_US
dc.identifier.pmid15922424
dc.identifier.scopus2-s2.0-20444448982
dc.identifier.scopusqualityQ2
dc.identifier.startpage1202en_US
dc.identifier.urihttps://doi.org/10.1016/j.urology.2005.01.039
dc.identifier.urihttps://hdl.handle.net/11468/16169
dc.identifier.volume65en_US
dc.identifier.wosWOS:000232157400035
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofUrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleLong-term outcome of posterior urethral rupture in boysen_US
dc.titleLong-term outcome of posterior urethral rupture in boys
dc.typeArticleen_US

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