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Urethral Perforation

MedGen UID:
306399
•Concept ID:
C1697751
•
Finding

Definition

A rupture in the wall of the urethra due to traumatic or pathologic processes. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUrethral Perforation

Professional guidelines

PubMed

Is thermochemotherapy with the Synergo system a viable treatment option in patients with recurrent non-muscle-invasive bladder cancer?
Kiss B, Schneider S, Thalmann GN, Roth B
Int J Urol 2015 Feb;22(2):158-62. Epub 2014 Oct 22 doi: 10.1111/iju.12639. PMID: 25339291
Direct vision balloon dilation for the management of urethral strictures.
Gelman J, Liss MA, Cinman NM
J Endourol 2011 Aug;25(8):1249-51; discussion 1251. Epub 2011 Jul 11 doi: 10.1089/end.2011.0034. PMID: 21745112Free PMC Article
Evaluation of tension-free vaginal tape procedure. Its safety and efficacy in the treatment of female stress urinary incontinence during the learning phase.
Lebret T, Lugagne PM, Hervé JM, Barré P, Orsoni JL, Yonneau L, Saporta F, Botto H
Eur Urol 2001 Nov;40(5):543-7. doi: 10.1159/000049833. PMID: 11752863

Recent clinical studies

Etiology

Clinical outcomes after total excision of transobturator tape inserted for treatment of stress urinary incontinence.
Abbas N, Virdee T, Basu M, Iles D, Kanitkar S, Kearney R, Khan H, Ward K, Reid F
Neurourol Urodyn 2023 Apr;42(4):785-793. Epub 2023 Feb 24 doi: 10.1002/nau.25155. PMID: 36825383
Road to recovery after transvaginal surgery for urethral mesh perforation: evaluation of outcomes and subsequent procedures.
Kowalik CG, Cohn JA, Kakos A, Lang P, Reynolds WS, Kaufman MR, Karram MM, Dmochowski RR
Int Urogynecol J 2018 Jun;29(6):887-892. Epub 2018 Jan 29 doi: 10.1007/s00192-018-3563-0. PMID: 29379998
Long-Term Outcomes After Repair of Transurethral Perforation of Midurethral Sling.
Colhoun A, Rapp DE
Female Pelvic Med Reconstr Surg 2016 Jul-Aug;22(4):272-5. doi: 10.1097/SPV.0000000000000273. PMID: 27054792
Surgical management of lower urinary mesh perforation after mid-urethral polypropylene mesh sling: mesh excision, urinary tract reconstruction and concomitant pubovaginal sling with autologous rectus fascia.
Shah K, Nikolavsky D, Gilsdorf D, Flynn BJ
Int Urogynecol J 2013 Dec;24(12):2111-7. Epub 2013 Jul 4 doi: 10.1007/s00192-013-2146-3. PMID: 23824269
Unrecognized bladder perforation with mid-urethral slings.
Foley C, Patki P, Boustead G
BJU Int 2010 Nov;106(10):1514-8. doi: 10.1111/j.1464-410X.2010.09378.x. PMID: 20518762

Diagnosis

Electric wire as a urethral foreign body: A case report.
Song Q, Zhang J, Jiao R
Medicine (Baltimore) 2021 Dec 3;100(48):e28103. doi: 10.1097/MD.0000000000028103. PMID: 35049238Free PMC Article
Non-erosive urethral perforation between tandem artificial urinary sphincter cuffs.
Baumgartner TS, Hudak SJ
Can J Urol 2016 Apr;23(2):8240-2. PMID: 27085831
Short term complications of the tension free vaginal tape operation for stress urinary incontinence in women.
Bodelsson G, Henriksson L, Osser S, Stjernquist M
BJOG 2002 May;109(5):566-9. doi: 10.1111/j.1471-0528.2002.01195.x. PMID: 12066948
Urethral complications of urinary catheterization presenting as primary scrotal masses: sonographic diagnosis.
Parvey HR, Patel BK
J Clin Ultrasound 1998 Jun;26(5):261-4. doi: 10.1002/(sici)1097-0096(199806)26:5<261::aid-jcu6>3.0.co;2-a. PMID: 9608370

Therapy

Clinical outcomes after total excision of transobturator tape inserted for treatment of stress urinary incontinence.
Abbas N, Virdee T, Basu M, Iles D, Kanitkar S, Kearney R, Khan H, Ward K, Reid F
Neurourol Urodyn 2023 Apr;42(4):785-793. Epub 2023 Feb 24 doi: 10.1002/nau.25155. PMID: 36825383
Long-term results of transurethral endoscopic excision using the holmium laser for urethral perforation of synthetic slings.
Wang C, Zimmern PE, Lemack G
Low Urin Tract Symptoms 2019 Apr;11(2):O103-O110. Epub 2018 Jun 28 doi: 10.1111/luts.12226. PMID: 29956499
Road to recovery after transvaginal surgery for urethral mesh perforation: evaluation of outcomes and subsequent procedures.
Kowalik CG, Cohn JA, Kakos A, Lang P, Reynolds WS, Kaufman MR, Karram MM, Dmochowski RR
Int Urogynecol J 2018 Jun;29(6):887-892. Epub 2018 Jan 29 doi: 10.1007/s00192-018-3563-0. PMID: 29379998
Long-Term Outcomes After Repair of Transurethral Perforation of Midurethral Sling.
Colhoun A, Rapp DE
Female Pelvic Med Reconstr Surg 2016 Jul-Aug;22(4):272-5. doi: 10.1097/SPV.0000000000000273. PMID: 27054792
Unrecognized bladder perforation with mid-urethral slings.
Foley C, Patki P, Boustead G
BJU Int 2010 Nov;106(10):1514-8. doi: 10.1111/j.1464-410X.2010.09378.x. PMID: 20518762

Prognosis

Long-Term Outcomes After Repair of Transurethral Perforation of Midurethral Sling.
Colhoun A, Rapp DE
Female Pelvic Med Reconstr Surg 2016 Jul-Aug;22(4):272-5. doi: 10.1097/SPV.0000000000000273. PMID: 27054792
Is thermochemotherapy with the Synergo system a viable treatment option in patients with recurrent non-muscle-invasive bladder cancer?
Kiss B, Schneider S, Thalmann GN, Roth B
Int J Urol 2015 Feb;22(2):158-62. Epub 2014 Oct 22 doi: 10.1111/iju.12639. PMID: 25339291
Artificial anal sphincter: complications and functional results of a large personal series.
Devesa JM, Rey A, Hervas PL, Halawa KS, Larrañaga I, Svidler L, Abraira V, Muriel A
Dis Colon Rectum 2002 Sep;45(9):1154-63. doi: 10.1007/s10350-004-6382-y. PMID: 12352229
Short term complications of the tension free vaginal tape operation for stress urinary incontinence in women.
Bodelsson G, Henriksson L, Osser S, Stjernquist M
BJOG 2002 May;109(5):566-9. doi: 10.1111/j.1471-0528.2002.01195.x. PMID: 12066948
A new treatment for Peyronie's disease: modeling the penis over an inflatable penile prosthesis.
Wilson SK, Delk JR 2nd
J Urol 1994 Oct;152(4):1121-3. doi: 10.1016/s0022-5347(17)32519-3. PMID: 8072079

Clinical prediction guides

Long-Term Outcomes After Repair of Transurethral Perforation of Midurethral Sling.
Colhoun A, Rapp DE
Female Pelvic Med Reconstr Surg 2016 Jul-Aug;22(4):272-5. doi: 10.1097/SPV.0000000000000273. PMID: 27054792
Artificial anal sphincter: complications and functional results of a large personal series.
Devesa JM, Rey A, Hervas PL, Halawa KS, Larrañaga I, Svidler L, Abraira V, Muriel A
Dis Colon Rectum 2002 Sep;45(9):1154-63. doi: 10.1007/s10350-004-6382-y. PMID: 12352229

Recent systematic reviews

Surgical interventions for women with stress urinary incontinence: systematic review and network meta-analysis of randomised controlled trials.
Imamura M, Hudson J, Wallace SA, MacLennan G, Shimonovich M, Omar MI, Javanbakht M, Moloney E, Becker F, Ternent L, Montgomery I, Mackie P, Saraswat L, Monga A, Vale L, Craig D, Brazzelli M
BMJ 2019 Jun 5;365:l1842. doi: 10.1136/bmj.l1842. PMID: 31167796Free PMC Article

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