Application value of transurethral ureteroscopic minimally invasive urethra in closed urethral injury

Abstract

Objective To explore the application value of transurethral ureteroscopic minimally invasive urethra in closed urethral injury. Methods From October 2016 to October 2018, 76 patients with closed urethral injury admitted to our hospital were selected as the research object. According to the different surgical methods, the patients were divided into control group and observation group, 38 cases in each group. The control group was treated with open urethral reunion. Ureteroscopy and transurethral resection of the suprapubic urethra were performed in the observation group. Results ①The total effective rate of operation in observation group was significantly higher than that in control group (97.37% vs.84.21%, P<0.05). ②the blood volume (36.25±9.23) mL and operation time (22.97±3.56) h in observation group were significantly shorter than those in control group [(92.56±8.64)mL, (45.23±3.68) h], and the hospitalization time (4.62±2.13)d was significantly shorter than that in control group (8.14±2.21)d. The maximum urinary flow rate (22.16±1.63)mL/s was higher than that of the control group (17.36±1.84)mL/s(P<0.05). ③The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (15.79% vs.49.99%, P<0.05). Conclusions Transurethral ureteroscopic urethral minimally invasive technique for closed urethral injury has the advantages of less trauma, lower incidence of complications, shorter hospitalization time and higher maximum urinary flow rate, which is worthy of clinical promotion. Key words: Urethral Diseases; Ureteroscopy; Minimally Invasive Surgical Procedures