Coffield K S, Weems W L
J Urol. 1977 Jun;117(6):722-4. doi: 10.1016/s0022-5347(17)58601-2.
Review of records from 205 patients with pelvic fracture and hematuria revealed that 121 underwent urologic and radiographic evaluation. Of these patients 20 had severe posterior urethral injuries documented by urethrography of voiding cystourethrography: 9 underwent primary repair and 11 had delayed scrotal-inlay urethroplasty after initial cystostomy alone. Patients who underwent primary repair had a 77 per cent incidence of stricture, a 22 per cent incidence of incontinence and a 33 per cent incidence of impotency. Patients who underwent delayed closure had no incidence of stricture, incontinence or impotence. Patients in both groups had urinary tract infections. Simple cystostomy followed by delayed scrotal-inlay urethroplasty appears superior to primary realignment in the management of patients with posterior urethral injuries.
对205例骨盆骨折合并血尿患者的记录进行回顾发现，121例患者接受了泌尿外科和影像学评估。在这些患者中，20例经排尿性膀胱尿道造影的尿道造影证实存在严重后尿道损伤：9例接受了一期修复，11例在仅行初始膀胱造瘘术后接受了延迟阴囊内嵌式尿道成形术。接受一期修复的患者狭窄发生率为77%，尿失禁发生率为22%，阳痿发生率为33%。接受延迟闭合的患者无狭窄、尿失禁或阳痿发生率。两组患者均有尿路感染。在处理后尿道损伤患者时，单纯膀胱造瘘随后延迟阴囊内嵌式尿道成形术似乎优于一期复位。
