Korean J Urol.
1995 Jul;36(7):767-771.
Experience of Perineo-Abdominal Progression Approach for Complicated Posterior Urethral Injury in Children
- Affiliations
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- 1Department of Urology, College of Medicine, Chung-Ang University, Seoul, Korea.
- 2Department of Urology, Gyeongsang National University, College of Medicine, ChinJu, Korea.
Abstract
- In complicated posterior urethral injury following pelvic bone fracture, the commonest cause of incompetence of the bladder neck is the circumferential tethering by hematoma-fibrosis. In such cases, functional competence of bladder neck can be restored by mobilizing the bladder neck, by removing retropubic fibrosis, and by occluding the dead space with omental pedicle graft. Also the reliability of the urethral anastomosis can be greatly increased by the obliteration of any perianastomotic dead space with a pedicled omental graft This kind of operation is called Turner-Warwick perineo-abdominal progression approach and we experienced 3 cases in children.
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