{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T16:04:20Z","timestamp":1784649860017,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T00:00:00Z","timestamp":1504742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>\n                    To review systematically the literature on female urethral injuries associated with pelvic fracture and to determine the optimum management of this rare injury. Using Meta\u2010analysis of Observational Studies in Epidemiology criteria, we searched the Cochrane, Pubmed and\n                    <jats:styled-content style=\"fixed-case\">OVID<\/jats:styled-content>\n                    databases for all articles available before 30 June 2016 using the terms \u2018female pelvic fracture urethroplasty\u2019, \u2018female urethral distraction\u2019, \u2018female pelvic fracture urethral injury\u2019 and \u2018female pelvic fracture urethra girls.\u2019 Two authors of this paper independently reviewed the titles, abstracts, and articles in duplicate. We identified 162 individual articles from the databases. Fifty\u2010one articles met our criteria for full review, including 158 female patients with urethral trauma. Of these injuries, 83 (53%) were managed with immediate repair; 17\/83 (20%) via primary alignment and 66\/83 (80%) via anastomotic repair. The remaining 75\/158 (47%) were managed with delayed repair. Rates of urethral stenosis and fistula were highest after primary alignment. Urethral integrity appears to be similar after both primary anastomosis and delayed repair; however, patients experienced significantly more incontinence and vaginal stenosis after delayed repair. Patients who underwent delayed urethral repair were more likely to undergo more extensive reconstructive surgery than those who underwent primary repair. The optimum management of female urethral distraction defects is based on very\u2010low\u2010quality literature. Based on our review of the available literature, primary anastomotic repair of a female urethral distraction defect via a vaginal approach as soon as the patient is haemodynamically stable appears to be optimal.\n                  <\/jats:p>","DOI":"10.1111\/bju.13989","type":"journal-article","created":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T07:32:41Z","timestamp":1502695961000},"page":"766-773","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Female urethral injuries associated with pelvic fracture: a systematic review of the literature"],"prefix":"10.1111","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9764-5870","authenticated-orcid":false,"given":"Devin N.","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Urology Department of Surgery Cedars Sinai Medical Center Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia S.","family":"Fok","sequence":"additional","affiliation":[{"name":"Department of Urology University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George D.","family":"Webster","sequence":"additional","affiliation":[{"name":"Division of Urology Department of Surgery Duke University Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer T.","family":"Anger","sequence":"additional","affiliation":[{"name":"Division of Urology Department of Surgery Cedars Sinai Medical Center Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.01.013"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181bb8d6c"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1982.tb13507.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00001.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.12.035"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.02.009"},{"key":"e_1_2_7_9_1","first-page":"91","article-title":"Injuries of the pelvis associated with injuries to other organs","volume":"36","author":"Dizdarevic S","year":"1989","journal-title":"Acta Chir Iugosl"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37162-8"},{"key":"e_1_2_7_11_1","first-page":"688","article-title":"Rupture of the female urethra in fractures of the pelvic bones. 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