Title: Prospective Randomized Study of Cases of Pelvic Fracture Urethral Distraction Defects (PFUDD) Managed by Initial Suprapubic Urinary Diversion with Delayed Urethroplasty versus Early Realignment with Evaluation of Erectile Dysfunction
Authors: Dr Parag Sharma, Prof H.S. Pahwa, Dr Awanish Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.159
Abstract
Introduction
Traumatic injury is a leading national and international health problem. Indeed, trauma is the leading cause of death for people between ages 1 and 37 years. The incidence of urethral injury in men with pelvic fracture varies widely. The results of 2 extensive reviews have shown that the incidence of posterior urethral injury varied from 1.6% to 25% (mean 9.9%).1,2 In the latest studies, it has been estimated to be between 3% and 25%, and the concomitant injuries of abdominal organs have been also reported in 27% of them3. Posterior pelvic fracture urethral distraction defect (PFUDD) is a challenging urologic problem that may result in complications, such as urinary incontinence and inability to void due to recurrent stricture leading to a lifelong disabling condition. Urethral injuries are overwhelmingly associated with bilateral pubic rami fractures so called straddle fractures and combination of straddle fractures with diastasis of sacroiliac joint has the highest risk of urethral injury.
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