尿道牵张损伤及球膜部吻合失败后的盆腔内球部前列腺修复术。

Intrapelvic bulboprostatic repair after urethral distraction injury and failed bulbomembranous anastomosis.

作者信息

Rehder Peter, Jelisejevas Lukas Andrius, Pedrini Marco, Gulacsi Alexandra, Horninger Wolfgang, Stuehmeier Jannik

机构信息

Medical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

出版信息

Urol Case Rep. 2020 Apr 22;32:101221. doi: 10.1016/j.eucr.2020.101221. eCollection 2020 Sep.

DOI:10.1016/j.eucr.2020.101221

PMID:32373472

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7191216/

Abstract

A failed end-to-end anastomosis after membranous urethral distraction injury post-trauma is a surgical challenge. We present a case of a young man after complex pelvic injury. Revision urethroplasty was done utilizing nerve and vessel sparing techniques. Intrasphincteric dissection enabled bulbous urethral pull-through with intrapelvic anastomosis with good success. Low dose tadalafil was given to optimize penile rehabilitation.

摘要

创伤后膜性尿道牵张损伤后端端吻合失败是一项外科挑战。我们报告一例复杂骨盆损伤后的年轻男性病例。采用保留神经和血管技术进行了尿道成形术翻修。括约肌内解剖实现了球部尿道经盆腔吻合后拖出，取得了良好效果。给予低剂量他达拉非以优化阴茎康复。