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Urethroscopic Management of Iatrogenic Urethral Injuries
- Source :
- Tehran University Medical Journal, Vol 63, Iss 2, Pp 166-171 (2005)
- Publication Year :
- 2005
- Publisher :
- Tehran University of Medical Sciences, 2005.
-
Abstract
- Background: This study was conducted to evaluate results of urethroscopic management of iatrogenic urethral injuries due to gynecological operations. Materials and Methods: From November 2001 till November 2003, 12 iatrogenic urethral injuries which were managed with mean time 12 hours (Range= 6-72) after gynecological operations were included in this study. 3 months after urethroscopy and distending, patients were evaluated with IVP. Mean time of clinical follow up was 12 months (range= 4-29). Results: 7 patients with urethral stricture were found and considering fluoroscopy guided urethral dilatation with balloon in 2 of them, urethroscopy and distending was successful in 6 patients (85/7%). In 5 patients with complete dissection of urethra, urethroscopy and distending was successful only in 1 of them (20%). All patients were discharged after 24 hours and in follow up IVP after 3 months. Results were satisfactory in 6 of 7 patients. One of patients needed re-distending due to stricture. Conclusion: Urethroscopic approach as first step in management of iatrogenic urethral injuries seems reasonable and cost benefit, specially in ligating lesions.
- Subjects :
- Urethroscopy
Iatrogenic
Ureteral Injuries
Medicine (General)
R5-920
Subjects
Details
- Language :
- Persian
- ISSN :
- 16831764 and 17357322
- Volume :
- 63
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Tehran University Medical Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.f04f812591bc44ffb778855879fa8423
- Document Type :
- article