The Outcomes of Primary Urethral Realignment Versus Suprapubic Cystostomy After Pelvic Fracture Urethral Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Urethral obstruction
研究概览
简要总结
Pelvic fracture urethral injuries (PFUI) occur in up to 10% of pelvic fractures. It remains controversial whether initial urethral realignment after PFUI decreases rates of urethral obstruction and the need for subsequent urethral procedures.
The retrospective record review should determine the utility of acute urethral realignment after PFUI.
详细描述
A retrospective chart review to compare outcomes between urethral realignment (group 1) and suprapubic tube (SPT) placement (group 2). The comparison will be between two routinely practiced management approaches of urethral injury after pelvic fracture.
Prior studies demonstrate urethral realignment is associated with a 15% to 50% reduction in urethral obstruction, however, it has also been associated with higher rates of incontinence and erectile dysfunction. Our hypothesis is that early realignment of traumatic urethral injuries after pelvic fracture lowers the incidence of complications like urethral strictures and subsequent need for surgeries.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Men > 18 years old Blunt force trauma Presence of pelvic fracture Urethral injury Inability to pass a Foley catheter retrograde through the injury into the bladder
排除标准
- •Straddle type urethral injuries without a pelvic fracture Passage of a catheter successfully in a retrograde fashion
结局指标
主要结局
Urethral obstruction
时间窗: Through study completion, an average of 1 year
Rates of urethral obstruction identified by urethrogram or cystoscopy
次要结局
- Urethroplasty complexity - gap length during urethroplasty(Through study completion, an average of 1 year)
- Urethroplasty complexity - bulbar mobilization length during urethroplasty(Through study completion, an average of 1 year)
- Urethroplasty complexity - urethral fistula present(Through study completion, an average of 1 year)
- Urethroplasty complexity - total obstruction of the urethra during urethroplasty(Through study completion, an average of 1 year)
- Treatment rate for urethral obstruction(Through study completion, an average of 1 year)
- Urethroplasty complexity - corporal splitting during urethroplasty(Through study completion, an average of 1 year)
- Urethroplasty complexity - total pubectomy during urethroplasty(Through study completion, an average of 1 year)
- Urethroplasty complexity - inferior pubectomy during urethroplasty(Through study completion, an average of 1 year)
- Erectile function - medical treatment rates(Through study completion, an average of 1 year)
- Urethroplasty complexity - urethral diverticulum discovered during urethroplasty(Through study completion, an average of 1 year)
- Erectile function- SHIM score(Through study completion, an average of 1 year)
- Erectile function - surgical treatment rates(Through study completion, an average of 1 year)
- Post-injury complications(3 month period post acute urethral injury)
- Incontinence(Through study completion, an average of 1 year)
研究者
Jeremy Myers
Associate Professor
University of Utah