Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 21, 2022; 10(3): 1050-1055
Published online Jan 21, 2022. doi: 10.12998/wjcc.v10.i3.1050
Novel method of primary endoscopic realignment for high-grade posterior urethral injuries: A case report
Cheng-Ju Ho, Min-Hsin Yang
Cheng-Ju Ho, Min-Hsin Yang, Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Cheng-Ju Ho, Min-Hsin Yang, Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
Author contributions: Ho CJ and Yang MH designed the report, collected the patient’s clinical data, analyzed the data, and wrote the paper.
Informed consent statement: Consent was obtained from the patient for treatment and publication of his anonymized case data and accompanying images.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/.
Corresponding author: Min-Hsin Yang, MD, Institute of Medicine, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung 40201, Taiwan. barbarian06070136@gmail.com
Received: June 21, 2021
Peer-review started: June 21, 2021
First decision: July 15, 2021
Revised: July 24, 2021
Accepted: December 22, 2021
Article in press: December 22, 2021
Published online: January 21, 2022
Processing time: 208 Days and 8.9 Hours
Core Tip

Core Tip: We report a modified primary endoscopic realignment to improve both the success rate and intraoperative safety of a patient with high-grade urethral disruption injury. The surgery was performed with simultaneous antegrade and retrograde endoscopes. We used a suprapubic Foley catheter to serve as an access route of the antegrade cystoscope. The antegrade guidewire was passed through the bladder neck and pulled out through the external urethra, with assistance of the retrograde cystoscope. For the 19-year-old male who presented with high-grade complete urethral disruption after traffic accident, modified endoscope realignment was achieved, and the patient recovered well.