ArticleAsian journal of urology2018
Management of complex and redo cases of pelvic fracture urethral injuries.
Article in Asian journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06248047 (Vessel-sparing Technique Versus Conventional Repair of Pelvic Fracture Urethral Injury), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Vessel-sparing Technique Versus Conventional Repair of Pelvic Fracture Urethral Injury: A Prospective Comparative Study
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Redo-urethroplasty for the management of recurrent urethral strictures in males: a systematic review.World journal of urology · 2019Pooled it
- Long-term follow-up outcomes and independent predictors of surgical failure following posterior urethroplasty for pelvic fracture-associated urethral strictures.World journal of urology · 2026Article
- Pedicled tubularized flaps for the treatment of bulbar urethral necrosis.World journal of urology · 2026Article
- Excision primary anastomosis urethroplasty with gracilis muscle flap for management of complex stricture with prostatorectal fistula and failure of multiple surgeries: A case report.Urology case reports · 2025Article
- Management of pelvic fracture urethral injury.Translational andrology and urology · 2025Review
- Efficacy of urethral suspension-assisted urethral anastomosis as a treatment for complex long-segment posterior urethral stricture.World journal of urology · 2025Article
- Article
- Application of 3D printed pelvic fracture related urethra and surrounding tissue as preoperative planning model.BMC urology · 2023Article
- Complex Complicated Posterior Urethral Stricture with Contracted Bladder and Prostatorectal Fistula: How Do We Manage It?Medical archives (Sarajevo, Bosnia and Herzegovina) · 2023Article
- The surgical techniques of transperineal anastomotic urethroplasty for complex posterior urethral stenosis in boys and the long-term follow up outcomes.Frontiers in pediatrics · 2023Article
- Surgical and Patient-Reported Outcomes of Delayed Anastomotic Urethroplasty for Male Pelvic Fracture Urethral Injury at a Japanese Referral Center.Journal of clinical medicine · 2022Article
- Management of pelvic fracture urethral injuries in the developing world.World journal of urology · 2020Article
- [Combined transperineal and transpubic urethroplasty for patients with complex male pelvic fracture urethral distraction defect].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020Article
- Multicenter analysis of posterior urethroplasty complexity and outcomes following pelvic fracture urethral injury.World journal of urology · 2020Article
- 3D printing of pelvic fracture urethral injuries-fusion of technology and urethroplasty.Turkish journal of urology · 2020Article
- Controversies in the management of pelvic fracture urethral distraction defects.Turkish journal of urology · 2019Review
- Outcome of patients with failed pelvic fracture-associated urethral injury repair: A single centre 10-year experience.Turkish journal of urology · 2019Article
- Functional and reconstructive urology (part two).Asian journal of urology · 2018Article
- Functional and reconstructive urology (part one).Asian journal of urology · 2018Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPelvic fracture urethral injuries (PFUI) result from traumatic disruption of the urethra. A significant proportion of cases are complex rendering their management challenging. We described management strategies for eight different complex PFUI scenarios.
methodsOur centre is a tertiary referral centre for complex PFUI cases. We maintain a prospective database (1995-2016), which we retrospectively analysed. All patients with PFUI managed at our institute were included.
resultsOver two decades 1062 cases of PFUI were managed at our institute (521 primary and 541 redo cases). Most redo cases were referred to us from other centres. Redo cases had up to five prior attempts at urethroplasty. We managed complex cases, which included bulbar ischemia, young boys and girls with PFUI, PFUI with double block, concomitant PFUI and iatrogenic anterior urethral strictures. Bulbar ischemia merits substitution urethroplasty, most commonly, using pedicled preputial tube. PFUI in young girls is usually associated with urethrovaginal fistula. Young boys with PFUI commonly have a long gap necessitating trans-abdominal approach. Our success rate with individualised management is 85.60% in primary cases, 79.13% in redo cases and 82.40% in cases of bulbar ischemia.
conclusionThe definition of complex PFUI is ever expanding. The best chance of success is at the first attempt. Anastomotic urethroplasty for PFUI should be performed in experienced hands at high volume centres.
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