Posterior urethral stricture or pelvic fracture urethral distraction defect (PFUDD) is relatively uncommon in children. Trauma and iatrogenic injury are the most common causes of stricture occurrence. Given the specificity of children’s urethra, treating their posterior urethral stricture is difficult, specifically for the children with long segment urethral stricture. We report a successful pe...

Traumatic female urethral avulsion in the absence of a pelvic fracture is an exceedingly rare entity, with no consensus on its' management. Here, we present a 35-year-old pregnant woman with severe anterior vaginal wall laceration and complete urethral avulsion secondary to straddle injury. Management consisted of primary urethral and vaginal repair.

Intermittent catheterisation is the preferred method of managing the neurogenic bladder in patients with spinal cord injury. However, spinal cord physicians experienced problems when trying to implement an intermittent catheterisation regime in some spinal cord injury patients in the northwest of England. We present illustrative cases to describe practical difficulties encountered by patients w...

OBJECTIVE To assess treatment strategies for seven different scenarios for treating complex pelvic fracture urethral injury (PFUI), categorised as repeat surgery for PFUI, ischaemic bulbar urethral necrosis (BUN), repair in boys and girls aged ⩽12 years, in patients with a recto-urethral fistula, or bladder neck incontinence, or with a double block at the bulbomembranous urethra and bladder nec...

A seven-year-old stallion with diversion of urinary pass to the thigh due to a urethral fistula caused by gunshot perineal injury was presented to the Urmia University, Veterinary Teaching Hospital. No signs of urinary obstruction or renal failure were observed. Because of inaccessible location of the injured urethra, through a perineal urethrotomy incision, a urinary catheter was effectively a...

BACKGROUND Inflating the balloon of Foley catheter in urethra is a complication of urethral catheterisation. We report five patients in whom this complication occurred because of unskilled catheterisation. Due to lack of awareness, the problem was not recognised promptly and patients came to harm. CASE SERIES A tetraplegic patient developed pain in lower abdomen and became unwell after transu...

To determine the value of CT in the diagnosis of bladder and posterior urethral injuries, we retrospectively evaluated the CT and urethrocystographic findings in 33 trauma patients with suspected injuries of the lower urinary tract who had both studies in their initial evaluation. In 26 (79%) of 33 patients, results of both examinations were normal. Seven (21%) of 33 patients had bladder injuri...

a seven-year-old stallion with diversion of urinary pass to the thigh due to a urethral fistula caused by gunshot perineal injury was presented to the urmia university, veterinary teaching hospital. no signs of urinary obstruction or renal failure were observed. because of inaccessible location of the injured urethra, through a perineal urethrotomy incision, a urinary catheter was effectively a...

Recent studies in animal models have shown that bladder contractions can be evoked by electrical stimulation of pudendal urethral afferent nerve fibers, even following spinal transection. Control of bladder activity would be a valuable tool to assist individuals with neurological disorders or spinal cord injury. To investigate these neural pathways in humans, a non-invasive approach is required...

This paper is about the success of early endoscopic (retrorgrade or retrograde-antegrade combined) realignment of pelvic fracture associated urethral injury after blunt pelvic trauma As known, immediate management of pelvic fracture associated urethral injury is to place a suprapubic catheter to provide urinary drainage. Thereafter, 2 alternative management approaches are available. The first o...