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Isolated penile urethral injury:A rare case following male coital trauma

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Asian Journal of Urology 2015年第3期2卷 175-178页

作者： Ka Wing Wong Brian Sze Ho Ho Chi Ho Ip Ming Kwong Yiu Division of Urology Department of SurgeryUniversity of Hong KongPokfulamHong KongChina

Penile fractures are an uncommon urological ***,penile fractures involve the corpus cavernosum and are sometimes associated with urethral *** corpus spongiosum and urethral injuries without concomitant corpus cavernosum injury are,however,*** proper knowledge of the management of penile fractures and urethral injuries,this distinct entity can be diagnosed,assessed and managed successfully without complications.

关键词： Penile fracture urethral injury Penis Corpus spongiosum Urological trauma Urethroplasty

Current trends in urethral stricture management

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Asian Journal of Urology 2014年第1期1卷 46-54页

作者： Christopher J.Hillary Nadir I.Osman Christopher R.Chapple Department of Urology Royal Hallamshire HospitalSheffieldUK

The recent International Consultation on Urological Disease(ICUD)panel 2010 confirmed that a urethral stricture is defined as a narrowing of the urethra consequent upon ischaemic spongiofibrosis,as distinct from sphincter stenoses and a urethral disruption *** possible,an anastomotic urethroplasty should be performed because of the higher success rate as compared to augmentation *** is some debate currently regarding the critical stricture length at which an anastomotic procedure can be used,but clearly the extent of the spongiofibrosis and individual anatomical factors(the length of the penis and urethra)are important,the limitation for this being extension of dissection beyond the peno-scrotal junction and the subsequent production of *** recently,there has been interest in whether to excise and anastomose or to carry out a stricturotomy and reanastomosis using a Heineke-Miculicz *** urethroplasty has evolved towards the more extensive use of oral mucosa grafts as compared to penile skin flaps,as both flaps and grafts have similar efficacy and certainly the use of either dorsal or ventral positioning seems to provide comparable *** is important that the reconstructive surgeon is well versed in the full range of available repair techniques,as no single method is suitable for all cases and will enable the management of any unexpected anatomical findings discovered intra-operatively.

关键词： urethral stricture Stricture Lichen sclerosus Pelvic fracture urethral injury Bladder outflow obstruction Urethroplasty Buccal mucosa graft

Risk factors for penile fracture compared with a surgical control cohort in the United States: the role of substance abuse

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Asian Journal of Andrology 2021年第3期23卷 236-239页

作者： Nathaniel Christian-Miller Andrew T Lenis Katherine E Fero Josef Madrigral Sriram V Eleswarapu Karim Chamie Peyman Benharash Cardiovascular Outcomes Research Laboratories(CORELAB) Department of SurgeryDavid Geffen School of Medicine at UCLALos AngelesCA 90095USA Department of Urology David Geffen School of Medicine at UCLALos AngelesCA 90095USA

Penile fracture(PF)is a surgical *** its rarity,we queried a national cohort over an 11-year period to study the temporal and demographic variations in presentation,evaluation,and management of patients with PF compared with a cohort of control *** National Inpatient Sample was queried between the years 2005 and 2016 for patients with a diagnosis of *** patients were selected as a control cohort,given the non-discriminatory nature of this *** and demographic data of the patients were compared with that of *** symptoms,rates of surgical repair,and rates of associated surgical procedures were evaluated in the PF *** the study period,5802 patients were hospitalized for *** annual incidence of PF remained unchanged at 1.0-1.8 cases per 100000 hospitalizations over the study *** with the control cohort,PF patients were more likely to be younger(38.7 years vs 41.2 years,P≤0.001),have lower rates of comorbidities except erectile dysfunction(1.4%vs 0.1%,P≤0.001),and were more likely of Black race(25.4%vs 6.2%,P≤0.001).Notably,PF patients had significantly higher rates of substance abuse(26.4%vs 18.1%,P≤0.001),despite no difference in the diagnosed psychiatric *** rarely presented with hematuria(3.5%);however,urethral evaluation was performed in 23.1%,most commonly with cystoscopy(19.2%).PF occurs more commonly in a younger,healthier male population,and among ***,rates of substance abuse appear to be higher in the PF cohort compared with those of controls.

关键词： epidemiology penile fracture penis urethra urethral injury

Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

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World Journal of Critical Care Medicine 2021年第6期10卷 377-389页

作者： Ayun K Cassell III Burgess Manobah Department of Surgery John F.Kennedy Medical CenterMonrovia 100010Liberia

BACKGROUND Trauma is a major cause of morbidity globally and the sixth leading cause of death,accounting for 10%of all *** genitourinary trauma is estimated for approximately 10%of all patients presenting with trauma,and the kidney is the most injured genitourinary organ ***,there is a paucity of data on genitourinary injury from the Sub-Saharan,and there may be variations from common genitourinary organs injured in developed *** To provide insight on the epidemiology and management of genitourinary trauma in Sub-Saharan Africa with recommendations based on international *** A thorough literature search of genitourinary trauma was conducted using PubMed,Google Scholar and African Journal *** A total of 30 studies from the Sub-Saharan region were eligible for the study and reviewed for epidemiology,biodata,types of injury,mechanisms of injury,treatment and *** evaluating 21904 patients presenting with urological emergencies,approximately 6.6%of cases were due to genitourinary *** commonest injury was urethral 42.9%(22.2-62.2%)followed by injury to the external genitalia(penis,scrotum,testes)25.1%(8.8-67.7%).CONCLUSION Genitourinary injury in Sub-Saharan Africa is underreported,and the presence of more trauma registries,trained urologists and trauma facilities could improve the overall standard of care as well as providing data for research and development in the field.

关键词： Genitourinary trauma urethral injury Sub-Saharan Ureteric Kidney