• Purpose: To provide latest evidence on the use of suprapubic catheter (SPC) versus urethral catheter (UC) after robot-assisted laparoscopic radical prostatectomy (RARP). (univr.it)
  • The treatment of posterior urethral injury involves primary realignment (PR) with a urethral catheter or suprapubic cystostomy (SPC) with delayed repair [ 3 ]. (jtraumainj.org)
  • Per-urethral catheter and suprapubic catheter were placed. (bvsalud.org)
  • Although computed tomography (CT) with a catheter is commonly employed, it is invasive, and catheter placement may displace the urethral position, resulting in possible planning inaccuracies. (bvsalud.org)
  • In this study, we investigated the usefulness of a three-dimensional (3D) T2-weighted (T2W) sequence for urethral identification, and the interfractional motion of the prostatic urethra on CT with a catheter and MRI without a catheter for implementing noninvasive SBRT. (bvsalud.org)
  • The first group underwent MRI without a catheter to evaluate urethral identification by two-dimensional (2D)- and 3D-T2W sequences using mean slice-wise Hausdorff distance (MSHD) and Dice similarity coefficient (DSC) of the contouring by two operators and using visual assessment. (bvsalud.org)
  • Its development has been linked to long-standing mucosal irritation (urethral reimplantation, neurogenic bladder, bladder exstrophy). (medscape.com)
  • These mucosal cells are what histologically classify urethral cancer as squamous-cell cancer, transitional-cell carcinoma, or adenocarcinoma secondary to metaplasia. (medscape.com)
  • She underwent external fixation of pelvic bones with primary repair of urethral and vaginal mucosal injury.Intraoperatively external pelvic fixator was applied, following which the bony fragments in the vagina were lifted up (due to the realignment of pelvic bones). (bvsalud.org)
  • A recent systematic review reported that PR appears superior in terms of stricture formation, but there is still debate regarding the proper management of posterior urethral disruption. (jtraumainj.org)
  • METHODS: 40 male patients with a mean age of 51.4 years and a history of urethral injury were primarily diagnosed with urethral stricture using a urethrocystoscope. (bvsalud.org)
  • In some children, urethral catheterization is not appropriate. (wikipedia.org)
  • citation needed] Since suprapubic aspiration is more invasive than transurethral catheterization, some medical professionals use suprapubic aspiration after a urine sample obtained with transurethral catheterization shows bacterial growth and there is concern for contamination. (wikipedia.org)
  • B. Management of bladder injury - Catheterization usually is required in patients with pelvic trauma but not if bloody urethral discharge is noted. (freezingblue.com)
  • Bloody urethral discharge indicates urethral injury, and a urethrogram is necessary before catheterization. (freezingblue.com)
  • Suprapubic cystostomy is an efficient treatment option when primary realignment is not possible. (jtraumainj.org)
  • Urethral injury is a consequence of major blunt trauma to the pelvis, with a reported incidence ranging from 1.6% to 25.0% [ 1 , 2 ]. (jtraumainj.org)
  • Primary urethral cancer is an extremely rare lesion, with fewer than 2000 reported cases and comprising less than 1% of the total incidence of malignancies. (medscape.com)
  • The incidence of primary urethral cancer is higher than was once speculated. (medscape.com)
  • It involves putting a needle through the skin just above the pubic bone into the bladder. (wikipedia.org)
  • Suprapubic aspiration is best performed if the child has not urinated recently, and thus has a full bladder. (wikipedia.org)
  • Since many children will be stimulated to urinate when the needle enters the bladder, the urethra is occluded, either by gently pitching the tip of the penis in boys, or with pressure on the urethral opening in girls. (wikipedia.org)
  • However, these symptoms are nonspecific and may also be associated with infection of the lower genitourinary tract (urethra, vagina) or with noninfectious conditions such as bladder carcinoma, urethral diverticulum, and calculi. (medscape.com)
  • thus, it may be difficult to distinguish between primary urethral carcinoma and locally advanced urothelial carcinoma of the bladder . (medscape.com)
  • These injuries can be catastrophic and incapacitating, causing urethral strictures, erectile dysfunction, and urinary incontinence. (jtraumainj.org)
  • Posterior urethral disruption injuries can occur due to severe pelvic blunt injuries, especially avulsion of the puboprostatic ligament and lengthening of the membranous urethra. (jtraumainj.org)
  • Literature on the management of pelvic fracture urethral injuries (PFUI) in women is scarce. (bvsalud.org)
  • We introduce an unusual case of a 25-year-old male patient with complete urethral injury combined with a severe open pelvic bone fracture. (jtraumainj.org)
  • In this case report, we review an unusual experience of spontaneous recanalization of complete posterior urethral disruption combined with an open pelvic bone fracture in a young male patient who underwent SPC alone. (jtraumainj.org)
  • Imaging revealed bilateral superior and inferior rami fractures with pubic bone diastasis. (bvsalud.org)
  • Introduction and overview of Male Urethral Catheterisation and Suprapubic Re-Catheterisation procedure underpinned by best practice guidelines and evidence based research. (teachable.com)
  • Exploration of potential complications of male urethral and suprapubic catheterisation procedure with a particular focus on issues around prostate problems. (teachable.com)
  • Suprapubic aspiration is a procedure to take a urine sample. (wikipedia.org)
  • Signs - hemorrhagic shock secondary to excessive pelvic bleeding, marked suprapubic and lower abdomen tenderness. (freezingblue.com)
  • Suprapubic aspiration has the lowest rates of contamination, but is often viewed as too invasive by practitioners and parents. (wikipedia.org)
  • Local examination showed mid-urethral transection injury and tear over the left anterolateral aspect of the vagina. (bvsalud.org)
  • Mid-urethral transection injury was repaired using end-to-end anastomotic urethroplasty. (bvsalud.org)
  • For this reason, it is often difficult to treat primary urethral cancer. (medscape.com)
  • Primary urethral cancer was found to be twice as likely in African Americans as in whites. (medscape.com)
  • However, larger studies, including a report using the SEER database, suggest that the majority (55-77.6%) of primary urethral cancer may manifest as urothelial (also known as transitional cell) carcinoma. (medscape.com)
  • In addition, the differences in urethral anatomy between men and women alter the treatment options available. (medscape.com)
  • The aim of this program is to provide the skills and training necessary for safe and effective urethral catheterisation of the male patient as well as the suprapubic recatheterisation of clients. (teachable.com)
  • Only 14% of female patients with urethral cancer have evidence of metastatic spread. (medscape.com)
  • After repair, a suprapubic cystostomy tube is usually left in place to ensure complete urinary drainage and control of bleeding. (freezingblue.com)
  • Periurethral tissue and vaginal layers were closed over the urethral repair. (bvsalud.org)
  • The aims of the program are to facilitate nurses with the skills for best practice in the area of male urethral catheterisation and suprapubic re-catheterisation. (teachable.com)
  • citation needed] The area about 1-2 centimeters above the pubic symphysis is cleansed with antiseptic solution, such as betadine or alcohol. (wikipedia.org)
  • These injuries can be catastrophic and incapacitating, causing urethral strictures, erectile dysfunction, and urinary incontinence. (jtraumainj.org)
  • citation needed] The area about 1-2 centimeters above the pubic symphysis is cleansed with antiseptic solution, such as betadine or alcohol. (wikipedia.org)
  • In the most severe cases, pressure necrosis may lead to traumatic hypospadias posteriorly, or there may be complete anterior loss of the urethra with exposure of the underlying pubic symphysis. (abdominalkey.com)
  • the most common is in patients with neurogenic voiding dysfunction who have been managed with chronic indwelling urethral catheters. (abdominalkey.com)
  • With suprapubic cystostomy alone, follow-up voiding cystourethrography showed spontaneous recanalization of the transected urethra after four months. (jtraumainj.org)
  • Posterior urethral disruption injuries can occur due to severe pelvic blunt injuries, especially avulsion of the puboprostatic ligament and lengthening of the membranous urethra. (jtraumainj.org)
  • Regardless of the indication, vesical neck closure requires a concomitant low-pressure urinary diversion such as a suprapubic cystostomy, an ileovesicostomy, or augmentation cystoplasty with a continent catheterizable stoma. (abdominalkey.com)
  • Urethral Stricture Urethral stricture is scarring that obstructs the anterior urethral lumen. (merckmanuals.com)
  • Female vesical neck closure is an uncommon procedure often reserved for those with severe urethral incompetence. (abdominalkey.com)