Abstract
Bulbar urethral ischemic necrosis (BUIN) is an iatrogenic entity resulting from multiple attempts at performing anastomotic urethroplasty for pelvic fracture urethral injuries (PFUI). This is not well defined in the published literature. The aim of this chapter is to create its awareness, strategies to prevent its occurrence and management options in established cases of BUIN.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg. 2002;195:1e10.
Barbagli G. History and evolution of transpubic urethroplasty: a lesson for young urologists in training. Eur Urol. 2007;52:1290e2.
Mundy AR, Andrich DE. Entero-urethroplasty for the salvage of bulbo-membranous stricture disease or trauma. BJU Int. 2010;105:1716e20.
Turner-Warwick R. The principles of urethral reconstruction. In: Rob C, Smith R, Scott McDougal W, editors. Rob and smith’s operative surgery, urology. London: Butterworths; 1986. p480e519.
Joshi P, Kaya C, Kulkarni S. Approach to bulbar urethral strictures: which technique and when? Turk J Urol. 2016;42(2):53–9. https://doi.org/10.5152/tud.2016.12989.
Kulkarni SB, Surana S, Desai DJ, et al. Management of complex and redo cases of pelvic fracture urethral injuries. Asian J Urol. 2018;5:107–17. https://doi.org/10.1016/j.ajur.2018.02.005.
Kulkarni SB, Joshi PM, Hunter C, et al. Complex posterior urethral injury. Arab J Urol. 2015;13:43–52.
Rosen RC, Riley A, Wagner G, et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 Jun;49(6):822–30.
Guan Y, Wendong S, Zhao S, et al. The vascular and neurogenic factors associated with erectile dysfunction in patients after pelvic fractures. Int Braz J Urol. 2015 Sep-Oct;41(5):959–66.
Zuckerman JM, McCammon KA, Tisdale BE, et al. Outcome of penile revascularization for arteriogenic erectile dysfunction after pelvic fracture urethral injuries. Urology. 2012 Dec;80(6):1369–73. https://doi.org/10.1016/j.urology.2012.07.059.
Kulkarni SB, Joshi P, Surana S, et al. Pedicled preputial tube urethroplasty for bulbar urethral necrosis after failed anastomotic urethroplasty for pelvic fractures urethral distraction defects. Eur Urol Suppl. 2018;17(2):e1937.
Zhe Y, Yangqun L, Yong T, Muxin Z, Wen C, Ning M, et al. The pedicled anterolateral thigh flap for penile reconstruction. Chin J Plast Surg. 2015;11:406e10.
Chauhan A, Sham E, Chee J. Microsurgical urethroplasty for complex bulbar urethral strictures using the radial forearm free flap prelaminated with buccal mucosa. J Reconstr Microsurg. 2016;32:378e85.
Nikolavsky D. Prelaminated gracilis flap with buccal mucosal graft for salvage of devastated urethra. Case Rep Urol. 2015;2015:490518.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Joshi, P.M., Desai, D., Kulkarni, S.B. (2020). Bulbar Urethral Necrosis. In: Martins, F.E., Kulkarni, S.B., Köhler, T.S. (eds) Textbook of Male Genitourethral Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-21447-0_28
Download citation
DOI: https://doi.org/10.1007/978-3-030-21447-0_28
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-21446-3
Online ISBN: 978-3-030-21447-0
eBook Packages: MedicineMedicine (R0)