Department of Urology, Advanced Urology Ward, Level 2, B-Block, PGIMER, Chandigarh, India.
Department of Urology, Advanced Urology Ward, Level 2, B-Block, PGIMER, Chandigarh, India,
Urol Int. 2022;106(1):103-105. doi: 10.1159/000510590. Epub 2020 Nov 23.
We present a never before reported delayed complication of progressive perineal urethroplasty with inferior pubectomy in a young male, where retained bone chip spontaneously erodes through anal canal. Our case cautions urologists doing inferior pubectomy for pelvic fracture urethral distraction defect to make sure that no loose bony fragment is left in the operative field. We also emphasize to make sure to nibble the sharp bony margins of the cut pubic bone after inferior pubectomy so that it will not impinge onto the anterior wall of rectum eliminating the risk of delayed perforation of rectum or anal canal.
我们报告了一例年轻男性行耻骨下切除联合会阴部尿道成形术后，遗留的骨屑碎片经肛门自行侵蚀穿透的迟发性并发症，该病例此前尚未见报道。我们的病例提醒行耻骨下切除治疗骨盆骨折后尿道会师缺陷的泌尿外科医生，确保手术野内无游离骨碎片遗留。我们还强调，在行耻骨下切除术后，务必咬除耻骨的尖锐骨缘，以避免其压迫直肠前壁，从而降低迟发性直肠或肛管穿孔的风险。
