Spontaneous Erosion of Retained Bone Chip into Anal Canal Following Progressive Perineal Urethroplasty with Inferior Pubectomy: Lessons Learnt!

2020 ◽  
pp. 1-3
Author(s):  
Shrawan Kumar Singh ◽  
Sudheer Kumar Devana ◽  
Shantanu Tyagi
Keyword(s):  
Anal Canal ◽  
Pelvic Fracture ◽  
Young Male ◽  
Anterior Wall ◽  
Pubic Bone ◽  
Operative Field ◽  
Bone Chip ◽  
Delayed Complication ◽  
Bony Fragment ◽  
Delayed Perforation

We present a never before reported delayed complication of progressive perineal urethroplasty with inferior pubectomy in a young male, where retained bone chip spontaneously erodes through anal canal. Our case cautions urologists doing inferior pubectomy for pelvic fracture urethral distraction defect to make sure that no loose bony fragment is left in the operative field. We also emphasize to make sure to nibble the sharp bony margins of the cut pubic bone after inferior pubectomy so that it will not impinge onto the anterior wall of rectum eliminating the risk of delayed perforation of rectum or anal canal.

scholarly journals Acute anterior wall myocardial infarction in a young male with hypertrophic cardiomyopathy and myocardial bridging

2005 ◽  
Vol 28 (10) ◽  
pp. 491-491
Author(s):  
Richard A. Kerensky ◽  
Sandeep Joshi ◽  
Eyal Herzog ◽  
Joseph J. Derose ◽  
Hrach Kasaryan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Hypertrophic Cardiomyopathy ◽  
Young Male ◽  
Anterior Wall ◽  
Myocardial Bridging ◽  
Anterior Wall Myocardial Infarction

Voiding Dysfunction Secondary to Penetrating Bony Fragment 20 Years After Pelvic Fracture

1989 ◽  
Vol 141 (3 Part 1) ◽  
pp. 606-607 ◽  
Author(s):  
Edward S. Cohen ◽  
Hal C. Scherz ◽  
C. Lowell Parsons
Keyword(s):  
Pelvic Fracture ◽  
Voiding Dysfunction ◽  
Bony Fragment

scholarly journals Delayed perforation of the sigmoid colon following a major pelvic fracture

2010 ◽  
Vol 3 (4) ◽  
pp. 425
Author(s):  
Luciano Santana-Cabrera ◽  
Fayna Rodríguez González ◽  
ManuelSánchez Palacios
Keyword(s):  
Sigmoid Colon ◽  
Pelvic Fracture ◽  
Delayed Perforation

Use of pedicled dartos flap wrap around technique in elaborarted perineal repair of complex pelvic fracture urethral distraction defect

2021 ◽  
pp. 205141582110002
Author(s):  
Bhatyal Hardev ◽  
Arya Ankur ◽  
Narang Vineet
Keyword(s):  
Urethral Stricture ◽  
Pelvic Fracture ◽  
Pubic Bone ◽  
Level Of Evidence ◽  
Pedicle Flap ◽  
Bulbar Urethra ◽  
Perineal Repair ◽  
Dartos Flap ◽  
Fibrofatty Tissue ◽  
Stricture Recurrence

Objectives: To describe the use of a pedicled dartos flap between the pubic bone and bulbar urethra after elaborate perineal urethroplasty in complex pelvic fracture urethral distraction defect. This is to prevent the risk of entrapment of the anastomotic area within a fibrous scar and hence prevent the risk of urethral stricture recurrence. Our objective is also to theorise the entity of bulbar urethral entrapment to describe the trapping of the bulbar urethra by fibrosis after extensive bone resection in complex cases of pelvic fracture urethral distraction defect. Methods: Ten patients with complex pelvic fracture urethral distraction defect underwent perineal urethroplasty at our institution from 2017 to 2019. Urethroplasty was done using the elaborated perineal approach in the standard fashion. Pedicled fibrofatty tissue along with dartos from the scrotum was used to separate the site of urethral anastomosis from the bare pubic bone and fill the dead space. Results: All patients are asymptomatic with no stricture recurrence in follow-up. Conclusions: Vascularised pedicle flap should become an important tenant in the elaborated perineal repair of complex pelvic fracture urethral distraction defect. It provides an ideal option in this scenario by decreasing the risk of urethral stricture recurrence without adding morbidity and minimum extra operative time. Level of evidence: Not applicable.

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