1,099 results match your criteria Urethral Trauma Imaging


[Features of surgical treatment of urinary incontinence in women with urethral destruction].

Urologiia 2021 May(2):86-89

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. Read More

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[Pediatric foreign body. A two case report.]

Arch Esp Urol 2021 May;74(4):449-454

Servicio de Urología Pediátrica. Hospital de Niños "Víctor J. Vilela". Rosario. Prov. Santa Fe. Argentina.

Introduction: Urethral insertion of foreign bodies is an infrequent emergency, being it exceptionally rare in prepubertal children. Both clinical presentation and the introduced elements are varied. Although sexualabuse and mental disorders must always be considered, these events are mainly related to the children's own  body self-discovery without any sexual connotation. Read More

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Urine leak after robotic radical prostatectomy: not all urine leaks come from the anastomosis.

J Robot Surg 2021 Apr 24. Epub 2021 Apr 24.

USC Institute of Urology, University of Southern California, 1441 Eastlake Ave., Suite 7416, Los Angeles, CA, 90089-9178, USA.

Radical prostatectomy is the gold standard in patients that are surgical candidates with localized prostate cancer. While most postoperative urine leaks are from vesico-urethral anastomosis, urologists must be aware that a small percentage of patients may have a urine leak from other sites that may have been inadvertently injured during the procedure. We propose a systematic workup to evaluate the source of the urinary leak as well as appropriate management of such injuries. Read More

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Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm.

Urol Case Rep 2021 Sep 23;38:101651. Epub 2021 Mar 23.

Department of Radiology and Imaging, Isfahan University of Medical Sciences, Isfahan, Iran.

Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fistulized to the urethral duct bulb. A catheter was inserted into the distal part of pudendal arteries at the pseudoaneurysm's proximity, and an intermittent embolizing agent (Gel-foam) was injected. Read More

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September 2021

Self-inserted foreign bodies during COVID-19: two case reports.

Hong Kong Med J 2021 04 7;27(2):142-144. Epub 2021 Apr 7.

Department of Surgery, Princes of Wales Hospital, Hong Kong.

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Urinoma as the result of a 3mm stone in ipsilateral ureter: A rare case report.

Urol Case Rep 2021 May 15;36:101571. Epub 2021 Jan 15.

Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Leakage from the kidney, ureter, bladder, and urethra, which mainly occur due to trauma, forms urinoma. The best tool for diagnosis of urinoma is enhanced-computed tomography with delayed imaging. Apart from injury, ureteral stone can induce urinoma, however, it is rare. Read More

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Management of urological trauma associated with pelvic fractures.

Br J Hosp Med (Lond) 2021 Jan 18;82(1):1-9. Epub 2021 Jan 18.

Department of Urology, Frimley Park Hospital, Frimley, Surrey, UK.

Urological trauma is frequently encountered in patients with high energy pelvic fractures and can have debilitating long-term sequelae for patients without appropriate multidisciplinary management. Anterior pelvic ring disruption causes a high incidence of bladder rupture and urethral injuries, and initial assessment requires urological tract imaging and emergent bladder drainage before subsequent surgical repair. Pelvic ring disruption requires urgent fixation and should be managed as an open fracture in the context of significant bladder and urethral injury with urinary leakage. Read More

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January 2021

Magnetic resonance imaging procedure for pelvic fracture urethral injuries and recto urethral fistulas: A simplified protocol.

Turk J Urol 2021 Jan 1;47(1):35-42. Epub 2021 Jan 1.

Kulkarni Reconstructive Urology Center, Pune, India.

Objective: The urethral gap in pelvic fracture urethral injury (PFUI) is traditionally assessed using voiding cystourethrogram (VCUG) and retrograde urethrogram (RGU). Magnetic resonance imaging (MRI) is performed in complex cases. We assessed the refined "Joshi" MRI protocol to evaluate complex urethral defects after PFUI. Read More

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January 2021

Iatrogenic bladder injury from port insertion during laparoscopic appendicectomy.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Urology, Sengkang General Hospital, Singapore.

A 26-year-old man underwent laparoscopic appendicectomy for acute appendicitis that was carried out uneventfully after initial urethral catheterisation to empty the bladder. Postoperatively, he developed oliguria associated with high drain output and elevated drain fluid creatinine. A contrast-enhanced computed tomography urography scan showed a small amount of contrast in the intraperitoneal space. Read More

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January 2021

Contrast-enhanced voiding urosonography (CEVUS) as a novel technique for evaluation in a case of male urethral diverticulum.

Indian J Radiol Imaging 2020 Jul-Sep;30(3):409-414. Epub 2020 Oct 15.

Department of Urology and Renal Transplant, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Male urethral diverticulum is an uncommon entity, the abnormality being more frequently encountered in females. The pathology may be congenital or acquired and the more frequent acquired type usually occurs following trauma. Afflicted patients usually lack specific symptoms, although in a few instances, symptoms of lower urinary tract obstruction, calculi, or infection may prevail. Read More

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October 2020

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2021 01 9;205(1):296-298. Epub 2020 Nov 9.

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January 2021

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2021 02 6;205(2):621-623. Epub 2020 Nov 6.

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February 2021

Anterior urethral trauma in childhood: presentation of two cases.

Cir Pediatr 2020 Oct 1;33(4):200-203. Epub 2020 Oct 1.

Diagnostic Radiology Department. Cruces University Hospital (Spain).

Introduction: The incidence of urethral trauma in children is low given that they have a short, mobile urethra, largely protected by the pubis.

Clinical Case: We describe two clinical cases illustrating the variety of presentations anterior urethral lesions can have. The first child had acute urinary retention two months after falling astride, with subsequent diagnosis of urethral stricture following serial voiding cystourethrogram (SVCU). Read More

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October 2020

Team Approach: Evaluation and Management of Pelvic Ring Injuries.

JBJS Rev 2020 06;8(6):e0149

1Divisions of Orthopaedic Surgery (J.M.K., A.R.A., C.M.O., and C.M.C.), Emergency Medicine (M.A.P.), and General Surgery (A.G.M.), Albany Medical Center, Albany, New York.

A multidisciplinary approach to the management of pelvic ring injuries has been shown to decrease mortality rates. The primary goals within the emergency room are to assess, resuscitate, and stabilize the patient. The Advanced Trauma Life Support protocol guides the initial assessment of the patient. Read More

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Comparison of surgical indications and short- and long-term complications in 56 cats undergoing perineal, transpelvic or prepubic urethrostomy.

J Feline Med Surg 2020 Sep 30:1098612X20959032. Epub 2020 Sep 30.

Department of Clinical Science and Services, Royal Veterinary College, London, UK.

Objectives: The aim of this study was to compare indications, complications and mortality rates for perineal urethrostomy (PU), transpelvic urethrostomy (TPU) and prepubic urethrostomy (PPU).

Methods: A retrospective review of, and follow-up owner questionnaire for, cats undergoing urethrostomy between 2008 and 2018, at a single referral hospital, were performed.

Results: Fifty-six cats underwent urethrostomy (PU, n = 37; TPU, n = 8; PPU, n = 11). Read More

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September 2020

Ultrasound-Guided Percutaneous Thrombin/Gelatin Treatment of High-Flow Posttraumatic Priapism Associated with Urethrorrhagia in an Adolescent Patient.

J Vasc Interv Radiol 2020 11 16;31(11):1902-1904. Epub 2020 Sep 16.

Pediatric Urology Unit, Department of Urology, Fundació Puigvert, Universitat Autónoma de Barcelona, Carrer de Cartagena, 340-350, Barcelona 08025, Spain.

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November 2020

Incidence, Outcomes, and Factors Associated with Intra-Abdominal Hypertension and Primary Abdominal Compartment Syndrome in Abdominopelvic Injury Patients.

Anesthesiol Res Pract 2020 17;2020:1982078. Epub 2020 Aug 17.

Registered Nurse, Surgical Intensive Care Units, Thammasat University Hospital, Khlong Nueng, Thailand.

Background: The primary aim was to identify the incidence of intra-abdominal hypertension (IAH) and primary abdominal compartment syndrome (1ACS) of abdominopelvic injury patients at Thammasat University Hospital (TUH), Thailand, and the secondary objective was to evaluate those factors that contributed to developing these conditions.

Methods: The retrospective cohort of 38 abdominopelvic injury cases was admitted to the intensive care unit at Thammasat University Hospital, from January 1 to December 31, 2018. The bladder pressure was recorded every 4 hours until the urethral catheter was removed. Read More

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Surgical management of stress urinary incontinence following traumatic pelvic injury.

Int Urogynecol J 2021 Jan 12;32(1):215-217. Epub 2020 Aug 12.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.

Introduction And Hypothesis: The objective was to discuss the evaluation and management of stress urinary incontinence (SUI) following traumatic pelvic injury by use of a video case.

Methods: We present a patient with severe SUI following pelvic trauma and our surgical approach to her case. Her injuries included two sacral compression fractures and four un-united bilateral pubic rami fractures, with her right-upper pubic rami impinging on the bladder. Read More

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January 2021

Editorial Comment to Usefulness of a high-speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury.

Authors:
Haruaki Kato

Int J Urol 2020 11 9;27(11):1007. Epub 2020 Aug 9.

Department of Urology, Nagano Municipal Hospital, Nagano City, Nagano, Japan.

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November 2020

Imaging spectrum of traumatic urinary bladder and urethral injuries.

Abdom Radiol (NY) 2021 02 28;46(2):681-691. Epub 2020 Jul 28.

Depertment of Medical Imaging, The Ottawa Hospital, Ottawa, ON, Canada.

Urinary bladder and urethral injuries usually occur as part of multiple injuries in polytrauma patients. These injuries are easily overlooked because the initial evaluation is focused on other life-threatening injuries such as traumatic brain injury, hemopneumothorax or hemoperitoneum. Although the urinary bladder and urethral injuries are not life-threatening, they pose the risk of long-term morbidity which can be burdensome. Read More

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February 2021

The Role of Postoperative Imaging after Ventral Onlay Buccal Mucosal Graft Bulbar Urethroplasty.

J Urol 2020 Dec 27;204(6):1270-1274. Epub 2020 Jul 27.

Cleveland Clinic, Glickman Urological and Kidney Institute, Cleveland, Ohio.

Purpose: Our primary objective was to determine the incidence of extravasation on imaging at the time of catheter removal after ventral onlay buccal mucosal graft urethroplasty.

Materials And Methods: This is a single center retrospective cohort study of patients who underwent ventral onlay buccal mucosal graft bulbar urethroplasty from 2007 to 2017. Patients with imaging at the time of catheter removal were included. Read More

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December 2020

Iatrogenic Urethral Trauma During Routine Prescrotal Orchiectomy in a Dog.

Top Companion Anim Med 2020 Aug 11;40:100435. Epub 2020 May 11.

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA.

A 6-month-old neutered male redbone coonhound was presented for a 2-day history of progressive subcutaneous swelling that began immediately following a routine prescrotal orchiectomy. Severe, fluctuant swelling and bruising of the ventral thorax, abdomen, scrotum, and right pelvic limb was apparent on examination. No evidence of an underlying coagulopathy was detected. Read More

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Predictors of urinary toxicity with MRI-assisted radiosurgery for low-dose-rate prostate brachytherapy.

Brachytherapy 2020 Sep - Oct;19(5):574-583. Epub 2020 Jul 15.

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address:

Purpose: MRI-assisted radiosurgery (MARS) is a modern technique for prostate brachytherapy that provides superior soft tissue contrast. The purpose of this analysis was to evaluate treatment planning factors associated with urinary toxicity, particularly damage to the membranous urethra (MUL) and external urethral sphincter (EUS), after MARS.

Material And Methods: We retrospectively reviewed 227 patients treated with MARS. Read More

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Rectal and Urethro-Vesical Subregions for Toxicity Prediction After Prostate Cancer Radiation Therapy: Validation of Voxel-Based Models in an Independent Population.

Int J Radiat Oncol Biol Phys 2020 12 13;108(5):1189-1195. Epub 2020 Jul 13.

Univ Rennes, CLCC Eugène Marquis, INSERM, LTSI-UMR 1099, Rennes, France.

Purpose: Recent voxel-based studies have shown that the dose to specific rectal and urethro-vesical subregions is predictive of toxicities after prostate cancer intensity modulated radiation therapy. The objective of this study was to validate the discriminatory power of these subregions with respect to the whole organs in a large independent population.

Methods And Materials: The validation cohort consisted of 450 patients from the TROG03. Read More

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December 2020

Treatment of Locked Pubic Symphysis by Distraction Osteotomy of the Superior Pubic Ramus: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0196

1Department of Orthopaedics, Medical Trust Hospital, Cochin, Kerala, India 2Department of Urology, Medical Trust Hospital, Cochin, Kerala, India.

Case: An 18-year-old adolescent sustained a lateral compression injury to the pelvis that featured a locked pubic symphysis with plastic deformation of the sacrum. The pubic bone was entrapped in the opposite obturator foramen and required a novel distraction osteotomy of the superior ramus to restore the symphysis. The patient developed a urethral stricture 3 months after injury that required urethroplasty. Read More

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February 2021

A biomimetic urethral model to evaluate urinary catheter lubricity and epithelial micro-trauma.

J Mech Behav Biomed Mater 2020 08 18;108:103792. Epub 2020 Apr 18.

School of Medicine, University College Dublin, Dublin, Ireland; UCD Centre for Biomedical Engineering, University College Dublin, Dublin, Ireland. Electronic address:

The standard method of evaluating the lubricity of intermittent urinary catheters with coefficient of friction (CoF) testing is not physiologically relevant, while there is also a dearth of published research on catheter-associated urethral micro-trauma. We developed a novel human urethral epithelial cell-seeded model of the urethra to replace the rubber counter-surface used in standard CoF testing. This cell-seeded model, in conjunction with a novel testing device, allows an investigation of catheter-associated epithelial micro-trauma in vitro for the first time. Read More

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A novel method for near-infrared fluorescence imaging of the urethra during perineal and transanal surgery: demonstration in a cadaveric model.

Colorectal Dis 2020 11 14;22(11):1749-1753. Epub 2020 Jun 14.

Institute of Physiology, EA3072 Mitochondria Respiration and Oxidative Stress, University of Strasbourg, Strasbourg, France.

Aim: Transanal total mesorectal excision is a promising novel sphincter-saving procedure for low rectal cancer. However, the transanal bottom-up dissection is associated with increased rates of iatrogenic urethral injuries. Near-infrared fluorescence (NIRF) imaging, given its deeper tissue penetration, has been explored in a limited number of studies for enhanced intra-operative urethral visualization. Read More

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November 2020

Linac-based SBRT as a feasible salvage option for local recurrences in previously irradiated prostate cancer.

Strahlenther Onkol 2020 Jul 12;196(7):628-636. Epub 2020 May 12.

Advanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy.

Background And Objective: The optimal management of prostate cancer (PC) recurrences after definitive or postoperative radiotherapy (RT) is still controversial. The aim of the present retrospective study was to report the preliminary clinical results and toxicity of a mono-institutional series of patients re-irradiated with linac-based SBRT in recurrent prostate cancer.

Methods: Inclusion criteria were previous definitive or adjuvant/salvage RT, evidence of biochemical recurrence and radiological detection of local relapse (Magnetic Resonance Imaging or PSMA/choline-Positron Emission Tomography), and IPSS <10. Read More

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Lower Urinary Tract Injuries: A Guide for the Emergency Radiologist.

Can Assoc Radiol J 2020 May 11:846537120913875. Epub 2020 May 11.

Division of Emergency Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada.

Traumatic lower urinary tract injuries are uncommon and mainly occur in patients with severe trauma and multiple abdominopelvic injuries. In the presence of other substantial injuries, bladder and urethral injuries may be overlooked and cause significant morbidity and mortality. Therefore, it is important that radiologists are familiar with mechanisms and injuries that are high risk for bladder and urethral trauma. Read More

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