Brandes Steven
Division of Urologic Surgery, Washington University School of Medicine, Box 8242, 4960 Children's Place, St. Louis, MO 63110, USA.
Urol Clin North Am. 2006 Feb;33(1):87-95, vii. doi: 10.1016/j.ucl.2005.10.001.
The key to the initial management of a urethral injury is prompt diagnosis, accurate staging of the injury, and properly selecting an intervention that minimizes the overall chances for the debilitating complications of incontinence, impotence, and urethral stricture. Although somewhat controversial, blunt traumatic posterior injuries generally are managed best by primary realignment (when feasible), straddle injuries of the bulbar urethra by suprapubic urinary diversion, and penetrating urethral injuries by primary repair and urinary diversion.
尿道损伤初始处理的关键在于迅速诊断、准确判断损伤分期，并恰当选择一种干预措施，以尽量降低出现尿失禁、阳痿和尿道狭窄等致残性并发症的总体几率。尽管存在一定争议，但钝性创伤性后尿道损伤一般最好通过一期复位（可行时）进行处理，球部尿道骑跨伤通过耻骨上膀胱造瘘进行处理，穿透性尿道损伤则通过一期修复和尿液改道进行处理。
