{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:55:51Z","timestamp":1777589751190,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Male urethral injury is a common urologic emergency in developing countries. Whether early or late treatment of urethral injuries is often multifactorial and controversial. The goal of this study is to determine whether early realignment can reduce postsurgical complications and evaluate the clinical feasibility of emergency endoscopic urethroplasty using single rigid ureteroscopy in the treatment of bulbar urethral severe injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Between September 2013 and March 2019, 15 male adult patients (mean age 35 years; from 21 to 62 years) with severe bulbar urethral injury were enrolled into the current study. The patients mainly presented with dysuria or painful urination (15\/15, 100%), urethral bleeding (13\/15, 86.7%), and urinary retention (11\/15, 73.3%). Six of them had swelling of perineal or scrotal soft tissue, while four had testicular contusion. No pelvic fracture was found in all cases with CT scanning of the pelvic cavity. The bulbar urethral at grade IV was confirmed to be completely ruptured in all cases by endoscopy during operation. The modified endoscopic primary realignment was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      This new urethral repair technique was effectively performed in all patients and none converted to open operation. Mean operation time was 42.3\u2009\u00b1\u200911.5 minutes (28\u201352 minutes) and the mean Foley catheter indwelling time was 34.5\u2009\u00b1\u20096.9 days (28\u201342 days). During a follow-up of 41.3\u2009\u00b1\u200922.8 months (12\u201364 months), mild urethral strictures (grade I) (19.7\u2009\u00b1\u20099.5 weeks, 10\u201327 weeks postsurgery) developed in 8 patients (53.3%) and then were all improved 2.1\u2009\u00b1\u20090.8 months (1.3\u20132.9 months) after periodic dilatations of the urethra (4\u201310 times). Erectile dysfunction (ED) occurred in three patients (20%) after surgery, who recovered from mild ED to normal by administration with oral sildenafil (100\u2009mg, three times a week) for 12 weeks. The International Index of Erectile Function-5 (IIEF-5) score was significantly improved after surgery (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009\u00b1\u2009SD, 25\u2009\u00b1\u20093) compared with before (16.4\u2009\u00b1\u20093.5) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). No incontinence and other complications occurred in all cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Early endoscopic realignment via suprapubic puncture cystostomy by single rigid ureteroscopy provides an effective, feasible, and safe procedure for severe bulbar urethral injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2020.0567","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T03:36:26Z","timestamp":1602473786000},"page":"335-341","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["A Modified Endoscopic Primary Realignment of Severe Bulbar Urethral Injury"],"prefix":"10.1177","volume":"35","author":[{"given":"Zejian","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Urology, Shenzhen Long-hua District Central Hospital, The Affiliated Central Hospital of Shenzhen Long-hua District, Guangdong Medical University, Shenzhen, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liekui","family":"Fang","sequence":"additional","affiliation":[{"name":"Urinary Surgery Department of the Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen Third People's Hospital, Shenzhen, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, Shenzhen Long-hua District Central Hospital, The Affiliated Central Hospital of Shenzhen Long-hua District, Guangdong Medical University, Shenzhen, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, Shenzhen Long-hua District Central Hospital, The Affiliated Central Hospital of Shenzhen Long-hua District, Guangdong Medical University, Shenzhen, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naixiong","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Urology, Shenzhen Long-hua District Central Hospital, The Affiliated Central Hospital of Shenzhen Long-hua District, Guangdong Medical University, Shenzhen, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parth U.","family":"Thakker","sequence":"additional","affiliation":[{"name":"Department of Urology and Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanyuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology and Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xisheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, Shenzhen Long-hua District Central Hospital, The Affiliated Central Hospital of Shenzhen Long-hua District, Guangdong Medical University, Shenzhen, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.09.009"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10339.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68918-5"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.02.2567"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.01.013"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65291-1"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.09.023"},{"key":"e_1_3_3_9_2","first-page":"1443","article-title":"Evaluation of immediate endoscopic realignment as a treatment modality for traumatic urethral injuries","volume":"64","author":"Hadjizacharia P","year":"2008","unstructured":"Hadjizacharia P, , Inaba K, , Teixeira PG, et al. 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