Emergency treatment of male blunt urethral trauma in China: Outcome of different methods in comparison with other countries  

作　　者：Yumeng Zhang Kaile Zhang Qiang Fu 

机构地区：[1]Department of Urology,The Second Hospital of Shandong University,Jinan,Shandong,China [2]Department of Urology,Shanghai Jiao Tong University Affiliated Sixth People’s Hospital,Shanghai,China

出　　处：《Asian Journal of Urology》2018年第2期78-87,共10页亚洲泌尿外科杂志（英文）

摘　　要：Treatment of male urethral trauma is always a challenging problem.In China,as the incidence of urethral trauma keeps rising,more and more studies relating to this are being published.To compare the outcome of different emergency treatments in China and other countries,we searched Chinese and English literature about this topic in the past 16 years.A total of 167 studies involving 5314 patients were included,with 144 in Chinese and 23 in English.All studies were retrospective in nature.Based on the analyses,surgical methods include open realignment,endoscopic realignment and primary repair,and we summarized and compared the success rate and complications(mainly erectile dysfunction and incontinence)of each method.We found that realignment of posterior urethra has similar success rate in China and other countries,but the outcome of realignment of anterior urethra is variable.The reason remains unknown.While long abandoned in Western countries,primary repair of anterior urethra is still an option in China and has high success rate.

关 键 词：Urethral trauma Urethrogram Endoscopic realignment Primary repair 

分 类 号：R69[医药卫生—泌尿科学]