Treatment of obliterated membranous and bulbous urethras by direct vision internal urethrotomy

G. B. McCoy, John Barry, S. F. Lieberman, H. D. Pearse, R. Wicklund

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Acute placement of a suprapubic bladder tube followed months later by open urethroplasty has been the traditional manner for managing traumatic disruption of the proximal urethra. The latter procedure has generally been performed via the transpubic or perineal approach. These procedures have been complicated by excessive blood loss, impotence, incontinence, strictures, and extended hospitalizations. Since 1979, 12 patients with obliterated urethras (ten membranous, two bulbous) have been treated by direct vision urethrotomy using a second cystoscope or sound passed through the previously placed suprapubic tract as a guide. Mean blood loss, hospital stay, and followup were 70 ml, 6 days, and 22 months, respectively. Six patients required at least one additional internal urethrotomy. With the exception of one patient who still requires intermittent self-catheterization, all have stable strictures. Ten are continent (one was incontinent secondary to previous radical prostatectomy before urethrotomy and one became incontinent after a TURP performed 3 years after urethrotomy). Five are potent and none lost potency as a result of urethrotomy. Flow rates range from 15-25 ml/second in the continent patients. This is a reasonable first procedure for restoring continuity of traumatically obliterated membranous and bulbous urethras.

Original languageEnglish (US)
Pages (from-to)883-886
Number of pages4
JournalJournal of Trauma
Volume27
Issue number8
StatePublished - 1987

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Urethra
Pathologic Constriction
Cystoscopes
Transurethral Resection of Prostate
Erectile Dysfunction
Therapeutics
Prostatectomy
Catheterization
Length of Stay
Urinary Bladder
Hospitalization

ASJC Scopus subject areas

  • Surgery

Cite this

McCoy, G. B., Barry, J., Lieberman, S. F., Pearse, H. D., & Wicklund, R. (1987). Treatment of obliterated membranous and bulbous urethras by direct vision internal urethrotomy. Journal of Trauma, 27(8), 883-886.

Treatment of obliterated membranous and bulbous urethras by direct vision internal urethrotomy. / McCoy, G. B.; Barry, John; Lieberman, S. F.; Pearse, H. D.; Wicklund, R.

In: Journal of Trauma, Vol. 27, No. 8, 1987, p. 883-886.

Research output: Contribution to journalArticle

McCoy, GB, Barry, J, Lieberman, SF, Pearse, HD & Wicklund, R 1987, 'Treatment of obliterated membranous and bulbous urethras by direct vision internal urethrotomy', Journal of Trauma, vol. 27, no. 8, pp. 883-886.
McCoy, G. B. ; Barry, John ; Lieberman, S. F. ; Pearse, H. D. ; Wicklund, R. / Treatment of obliterated membranous and bulbous urethras by direct vision internal urethrotomy. In: Journal of Trauma. 1987 ; Vol. 27, No. 8. pp. 883-886.
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