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1. 男性の前部尿道や外陰部の外傷traumatic injury to the anterior urethra and external genitalia in men [show details]
…(blunt or penetrating) can occur in the absence of urethral injury. Blood at the urethral meatus is the most common finding of associated anterior urethral injury, but this finding is highly variable, present …
2. 後部尿道損傷とそのマネージメントposterior urethral injuries and management [show details]
…between the urethral ends . Most urethral injuries that occur with a pelvic fracture are distraction defects with minor separations. Very severe trauma may result in wide separation of the urethral ends along …
3. 小児における股ひろげ損傷：評価およびマネージメントstraddle injuries in children evaluation and management [show details]
…Injury to the hymen and/or posterior fourchette; Vaginal bleeding; Perineal lacerations or tears; Blood at the urethral meatus, gross hematuria in the absence of adjacent bleeding, or periurethral laceration; …
4. 女性の下部生殖器外傷の評価およびマネージメントevaluation and management of female lower genital tract trauma [show details]
… Perineal lacerations or tears are classified as follows: First degree – Involving… Vaginal trauma may cause serious damage to internal organs, especially the lower urinary tract . Urethral catheterization can be useful to look for hematuria, suggestive of bladder injury. However, the …
5. Vaginal pessaries: Insertion and fitting, management, and complicationsvaginal pessaries insertion and fitting management and complications [show details]
… The incontinence ring pessary has a knob that is placed beneath the urethra to increase urethral pressure when treating SUI The Gellhorn pessary is… some patients who remove the pessary nightly are at risk for minor skin tears at the introitus; we advise these patients to remove the pessary weekly to reduce tissue trauma.…

Japanese Journal

マンガでチェック! 泌尿器ケアトラブル対応マニュアル(第28回)尿道断裂のオペは半年後!?

佃文夫
泌尿器ケア 20(4), 412-415, 2015-04
NAID 40020440287

外傷性尿道狭窄症に対する初回尿道形成不成功例の検討と救済手術

堀口明男,東隆一,田崎新資 [他],濱田真輔,黒田健司,佐藤全伯,朝隈純一,瀬口健至,早川正道,伊藤敬一,淺野友彦
日本泌尿器科學會雜誌 104(4), 589-597, 2013-07-20
… る経恥骨的尿道形成術を行い，恥骨欠損部を1例は腹直筋弁，1例は右胃大網動脈を血管茎とする有茎大網弁で充填した．救済手術後の観察期間は10～25カ月（平均16カ月）であった．全例とも再狭窄を認めず，排尿状態良好である．（結論）騎乗型損傷後の球部尿道狭窄，骨盤骨折後の後部尿道断裂では，救済手術においても尿道端々吻合による修復が理想的であり，緊張のない吻合を実現するための工夫が肝要である． …
NAID 10031179368