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Zieliński J. First aid and general principles of treatment of urethral injuries accompanying pelvic fractures. Int Urol Nephrol. 1975;7(2):131-4doi: 10.1007/BF02085432.
Zieliński, J. (1975). First aid and general principles of treatment of urethral injuries accompanying pelvic fractures. International urology and nephrology, 7(2), 131-4. https://doi.org/10.1007/BF02085432
Zieliński, J. "First aid and general principles of treatment of urethral injuries accompanying pelvic fractures." International urology and nephrology vol. 7,2 (1975): 131-4. doi: https://doi.org/10.1007/BF02085432
Zieliński J. First aid and general principles of treatment of urethral injuries accompanying pelvic fractures. Int Urol Nephrol. 1975;7(2):131-4. doi: 10.1007/BF02085432. PMID: 1237476.
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Int Urol Nephrol. 1975;7(2):131-4. doi: 10.1007/BF02085432.

First aid and general principles of treatment of urethral injuries accompanying pelvic fractures.

International urology and nephrology

J Zieliński

PMID: 1237476 DOI: 10.1007/BF02085432

Abstract

Adequate first aid and operation done in due time with participation of an urologist enables the successful primary repair of urethral injuries accompanying pelvic fractures. Suprapubic cystostomy, drainage of the pre- and subvesical space towards the perineum, splinting of the urethra with an ureteral catheter and ureteral or at least paraureteral sutures done through a perineal incision are the principal requirements. Avoidance of catheterization, but eventually emptying of the bladder through a suprapubic puncture in the preoperative period and treating the urethra with greatest gentleness in time of repair should prevent additional injury to the urethra, in most cases only partially torn. Further development shall lead to giving up the theory of two-stage operations of urethral injuries.

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References

  1. J Urol. 1972 Feb;107(2):259-64 - PubMed
  2. J Urol. 1974 Mar;111(3):353-5 - PubMed
  3. J Urol. 1972 Feb;107(2):255-8 - PubMed
  4. J Urol. 1972 Feb;107(2):265-8 - PubMed

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