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POINT-COUNTER-POINT
Year : 2010  |  Volume : 26  |  Issue : 2  |  Page : 310-313

Primary urethral realignment should be the preferred option for the initial management of posterior urethral injuries


Department of Urology, Manipal Institute of Nephrology and Urology, Manipal Hospital, Airport Road, Bangalore - 560 017, India

Correspondence Address:
Deepak Dubey
Consultant Urological Surgeon, Manipal Institute of Nephrology and Urology, Airport Road, Bangalore - 560 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.65416

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The initial management of posterior urethral injuries is controversial. Options of management include immediate surgical realignment, early realignment using minimally invasive techniques or simple suprapubic catheter (SPC) placement followed by delayed urethroplasty. The latter method has been preferred by most urologists but the last couple of decades have seen increasing reports of early urethral realignment which have provided better if not similar results as SPC placement. In this article a detailed analysis of studies involving primary realignment has been presented to reinforce the argument in favor of this approach.


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