Posterior urethral injury concurrent impotence

Posterior urethral injury concurrent impotence

The typical posterior urethral injury prostate is often located in tips. Such as fractures backward-shift degree light, urethral for incomplete fault for completeness, serious fracture, posterior urethral rupture can happen at the prostatic urethra or bladder neck. Posterior urethral injury such as inappropriate handling will increase complications, common complications were urethral stricture, incontinence and etc. At present the treatment for posterior urethral injuries there are still exist many debate, some contend that the early restoration, some contend that early on the pubis only ok after colostomy art, bladder elective line urethral prosthetics. Its advantages and disadvantages are as follows:

(1) only in the pubis uplink bladder colostomy, without the pelvis and urethral catheter inserted in operation or for those wounds serious, equipment condition is poor, or the merger of a critically wounded fits.

(2) the method can obviously reduce complications. Reports have pelvic fractures with posterior urethral injury, issue the urethra repair person 77% happen urethral stricture, 32% have impotence, urinary incontinence, and produces 22% to take second who were not occurring urethral repair the complications. And other means to therapy (such as traction therapy), the incidence of impotence 40% ~ 55% for higher. So for the posterior urethral injury concurrent impotence, not only with the extent of the damage, and related after injury treatment methods are more closely related. So in clinical must damage of the detailed observations, timely treatment to reduce the complications.