The initial management of complete urethral disruption in a deployed military field hospital

摘要: Abstract Background The management of male urethral trauma in the multiply injured battle casualty has proved challenging to deployed military surgeon. Foreign nationals will need culturally sensitive outcomes with adequate urinary function when further surgical is unlikely be available a developing country. For those likely undergo reconstructive surgery, early restoration anatomy important as it may improve long-term outcome. Method We illustrate our technique case report and discuss salient points other patients treated same manner, all whom presented role 2 (enhanced) field hospital Afghanistan injuries. Results A transpelvic high velocity gunshot wounds (HVGSW) was sustained patient underwent immediate anatomical re-alignment urethra suture bladder neck pelvic floor. This discussed detail. Conclusions Complete disruption can successfully managed by catheterization at time initial surgery. In where reconstruction not possible, provides permissible solution for patients. who approximation floor reduce stricture rate comparison suprapubic alone.