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- Title
"Primary" bulbar urethral ischemic necrosis following pelvic fracture urethral injury: A rare surgical challenge.
- Authors
Singh, Preet Mohan; Krishna, Bhavya; Yadav, Siddharth
- Abstract
Ischemic necrosis of the bulbar urethra in a patient with pelvic fracture urethral injury without a prior history of surgical intervention is extremely rare and results in long-segment obliterative strictures that are difficult to manage. Instead of the more traditional approach of vascular reconstruction followed by transpubic end-to-end urethroplasty, these patients are better managed by up-front urethroplasty with a tubed flap or as a staged procedure with grafting and tubularization. Herein, we report a case of primary bulbar urethral ischemic necrosis due to pelvic fracture managed with tubularized preputial flap (McAninch flap) urethroplasty.
- Subjects
PELVIC fractures; URETHRA; URETHRA stricture; VASCULAR surgery; URETHRA diseases; DISEASE risk factors; DISEASE complications
- Publication
Indian Journal of Urology, 2024, Vol 40, Issue 1, p62
- ISSN
0970-1591
- Publication type
Article
- DOI
10.4103/iju.iju_329_23