Biomaterial Database

Primary realignment of prostatomembranous urethral disruptions. 1995

M O Koch

Department of Urology, Vanderbilt University Medical Center, Nashville, TN 37232-2765, USA.

Management of prostatomembranous urethral disruptions remains controversial. Advocates of delayed urethral reconstruction suggest that immediate repair provides inferior outcomes in terms of impotence and incontinence. However, review of the literature, provides strong evidence that the injury itself is the most important factor in determining outcome because impotence appears to be the result of injury to the corpora cavernosa. Moreover, techniques for immediate urethral realignment provide outcomes that are equivalent to delayed-repair approaches while eliminating the need for long-term suprapubic catheter drainage and multiple surgical procedures for reconstruction. Techniques for immediate urethral realignment, along with outcomes at the Vanderbilt University Medical Center (Nashville, TN) are presented. Potency and continence rates of 83% and 100% were achieved, with early realignment of complete prostatomembranous urethral disruptions. These results are comparable to or exceed those of delayed-repair approaches.

UI	MeSH Term	Description	Entries
D007172	Erectile Dysfunction	The inability in the male to have a PENILE ERECTION due to psychological or organ dysfunction.	Impotence,Male Impotence,Male Sexual Impotence,Dysfunction, Erectile,Impotence, Male,Impotence, Male Sexual,Sexual Impotence, Male
D008297	Male		Males
D008722	Methods	A series of steps taken in order to conduct research.	Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014521	Urethra	A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.	External Urethral Sphincter,External Urinary Sphincter,Internal Urethral Sphincter,Internal Urinary Sphincter,Internal Vesical Sphincter,Urethral Sphincters,External Urethral Sphincters,External Urinary Sphincters,Internal Urethral Sphincters,Internal Urinary Sphincters,Internal Vesical Sphincters,Sphincter, External Urethral,Sphincter, External Urinary,Sphincter, Internal Urethral,Sphincter, Internal Urinary,Sphincter, Internal Vesical,Sphincter, Urethral,Urethral Sphincter,Urethral Sphincter, External,Urethras,Urinary Sphincter, External,Urinary Sphincter, Internal,Vesical Sphincter, Internal
D014549	Urinary Incontinence	Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.	Incontinence, Urinary