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2017 ; 9
(4
): 403-406
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English Wikipedia
"Horrendoplasty" - A case of total perineal destruction by agricultural
implement
#MMPMID29118550
de Oliveira PS
; de Oliveira TR
; Martinho D
; Martins F
Urol Ann
2017[Oct]; 9
(4
): 403-406
PMID29118550
show ga
Although posterior urethral injury occurs almost always in association with
pelvic fracture, it may result from severe trauma to the perineum with its
associated potential lethality and severe morbidity. Early primary endoscopic
realignment over a urethral catheter can be attempted, although an immediate
suprapubic tube placement remains the standard of care. Definitive treatment
consists of elective open posterior anastomotic urethroplasty through a perineal
approach. The authors present a 53-year-old man who sustained total, massive
perineal destruction resulting from work accident with an agricultural implement.
Immediate suprapubic tube placement was performed followed by delayed elective
transperineal anastomotic posterior urethroplasty. A major multidisciplinary
approach was necessary in the management strategy, including orthopedic, general,
plastic, vascular surgeries, and reconstructive urology teams. At a later stage,
with the patient stabilized and recovered from major, life-threatening lesions
dealt with by a multidisciplinary team, urethral reconstruction can be undertaken
with ultimate good functional outcomes.