A Retrospective Look at Term Outcomes After Definitive Surgical Repair for Traumatic Pelvic Fracture Urethral Injuries – Does Initial Management Make a Difference? - 22/02/22
, Taylor Remondini 2, Amanda Hird 2, Jennifer A. Locke 1, Sender Herschorn 1, Ronald Kodama 1Abstract |
Objective |
To compare the long-term outcomes of initial management of pelvic fracture urethral injury (PFUI) in a large cohort of trauma patients undergoing urethral reconstruction.
Materials and Methods |
119 patients underwent urethral reconstruction by a single surgeon for PFUI at our center between 1998-2018. We compared initial PFUI management - primary realignment vs suprapubic tube (SPT) insertion alone. Multivariable Cox proportional hazard analysis was used to assess the association between primary intervention and the risk of having a complication.
Results |
PFUI was initially managed with primary realignment (57%) or SPT alone (43%). Ultimately, all patients underwent a primary perineal urethral anastomosis after a median of 7 months (IQR: 5-14). Overall, 27 patients (23%) had 1 or more long-term complications after a median 25 months (IQR:7-66), including urethral stricture, de novo erectile dysfunction, and urinary incontinence. On multivariable analysis, initial PFUI management did not predict for complications.
Conclusion |
No difference was found in long-term outcomes after urethral reconstruction when comparing initial PFUI management of primary realignment vs SPT insertion.
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| Financial Disclosure: Dr. Herschorn reports grants from Astellas Pharma Canada, during the conduct of the study; grants from CIHR, grants from Allergan, grants and other from AMI, other from Boston Scientific, other from Pfizer, outside the submitted work. All other authors have no competing interests to declare. |
Vol 160
P. 203-209 - février 2022 Retour au numéro
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- Victoria Turnbull, Harkanwal Randhawa, Yuding Wang, Melissa McGrath, Luis H. Braga
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- Jeremy B. Myers
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