【摘 要】
:
Pelvic fracture urethral distraction defects (PFUDDs) are relatively infrequent in boys,and treatment for PFUDDs presents one of the most difficult problems in urological practice.Anastomotic urethroplasty is considered an ideal surgical procedure for PFU
【机 构】
:
Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 20
论文部分内容阅读
Pelvic fracture urethral distraction defects (PFUDDs) are relatively infrequent in boys,and treatment for PFUDDs presents one of the most difficult problems in urological practice.Anastomotic urethroplasty is considered an ideal surgical procedure for PFUDDs in boys.However,various surgical approaches for anastomotic urethroplasty have been proposed,including a simple transperineal approach,a transperineal intercorporal septal separation approach,a transperineal inferior pubic approach,and a combined transpubic-perineal approach.This study aims to determine which surgical approach is best for PFUDDs in boys.We retrospectively identified 22 boys with PFUDDs aged 2-14 years who underwent anastomotic urethroplasty via different approaches between January 2008 and December 2017.Follow-up was performed in all the 22 patients for 6-123 (mean:52.0) months.Finally,20 of the 22 boys (90.9%) were successfully treated,including 1 of 2 patients treated with a simple transperineal approach,3 of 3 with a transperineal approach with intercorporal septal separation,14 of 15 with a transperineal inferior pubic approach,and 2 of 2 with a combined transpubic-perineal approach.Two patients had failed outcomes after the operation,and stenosis recurred.Based on the outcome of the 22 patients,we can draw a preliminary conclusion that most boys (20/22) can be treated with a transperineal inferior pubic approach or simpler procedures without the need of completely removing or incising the pubis.The combined transpubic-perineal approach can be used in cases of extremely long urethral distract defects.
其他文献
Prostate cancer (PCa) is a major health risk for older men worldwide.Existing systemic therapies mostly target androgen receptor (AR).Although treatments are initially effective,the disease always recurs.A potential mechanism for the treatment failure is
Dear Editor,rnIn its latest edition, the World Health Organization (WHO) provides guidelines regarding the standardization of techniques for the measurement of sperm concentration and recommends use of a 100 μm-deep hemocytometer. However, these instructi
Many studies have shown that microRNAs (miRNAs) play vital roles during the spermatogenesis.However,little is known about the altered miRNA profiles of testicular tissues in nonobstructive azoospermia (NOA).Using microarray technology,the miRNA expression
To investigate whether transcription of hepatitis B virus (HBV) gene occurs in human sperm,total RNA was extracted from sperm of patients with chronic HBV infection (test-1),from donor sperm transfected with a plasmid containing the full-length HBV genome
This study aimed to investigate perceived ejaculatory function/satisfaction before treatment for lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH) and to identify associations between specific categories of ejaculatory dysfunctions (E
In the setting of an infected inflatable penile prosthesis (IPP),removal of the reservoir is a surgical challenge.We describe a novel technique for IPP reservoir removal at the time of IPP explantation utilizing laparoscopic instruments.We present two cas
Dear Editor,rnCarriers of balanced chromosomal rearrangements,including reciprocal,robertsonian translocations,and inversions,have all genetic information conserved.Nevertheless,because of the possibility of defect in chromosome segregation during gametog
Erectile dysfunction (ED) is a common disorder characterized by multifactorial etiology.Cardiovascular disease,diabetes,hormone alterations,and surgical manipulation represent the common causes of ED.1 Age is also an independent risk factor for ED,with an
Low testosterone (T) is frequent in men with chronic illnesses.The clinical features of T deficiency (TD) overlap with those of chronic diseases.The aim of this study is to evaluate the relative contribution of chronic disease score (CDS) and low T to the
The present study aims to analyze sperm concentration trends among young and healthy Chinese adults in Wuhan,Central China,from 2010 to 2015.Semen analysis data from 9357 participants were collected and analyzed using a general linear model and the Cochra