PR Reyhan

- definisi striktur

The term urethral stricture refers to anterior urethral disease, or

a scarring process involving the urethral epithelium or spongy

erectile tissue of the corpus spongiosum (spongiofibrosis)

Campbell 11 th

- straddle injury

Straddle Injury: Trauma of the Anterior Urethra

The most common injuries of the anterior urethra are caused by a blunt trauma of the perineum
(straddle injury) or by transurethral manipulation (Machtens et al, 2000)

Signs and Symptoms of an Anterior Urethral Injury

Bloody discharge from the meatus

Hematuria

A Hematoma is normally confined to the perineum and penile shaft. If Buck's fascia is torn, the
hematoma can extend into the scrotum.

Urinary extravasation and phlegmone

Urethral stricture: may become symptomatic up to 10 years later

Diagnostic Work-Up

Retrograde urethrogram

Treatment of an Anterior Urethral Injury

Insert a transurethral indwelling catheter with the help of fluoroscopy or after insertion of a guide wire,
if necessary. The catheter is removed after 7–14 days, depending on the severity of the injury. In severe
cases and if a transurethral catheter alignment is not possible, a suprapubic cystostomy is the treatment
of choice. After removal of the catheter, further treatment depends on the extent and location of the
urethral stricture

PR adit

- derajat chordee dan cara ukurnya

Derajat chordee : Chordee dapat terjadi 10 – 90 , terbanyak 20 -50 o

Cara pengukuran chordee dapat menggunakan busur atau goniometer

PR TKM

- diameter masing2 bagian urethra

The male urethra is 8 - 9 mm in diameter. The external meatus is 8 mm in size, but normally appears as a
vertical slit. The portion of the urethra immediately behind it, in the glans, is 10 — 11 mm in diameter.
This fusiform dilatation, the fossa

navicularis, has folds of mucosa which form blind pockets in its roof, and could arrest a dilator tip passed
upwards. The coronal extremity of the fossa is again narrow. The pendulous urethra in the corpus
spongiosum is 9—10 mm in diameter and contains blind pockets similar to those in the fossa navicularis.
The bulbous urethra situated at the proximal end of the corpus spongiosum is 11—12 mm in diameter.
The membranous urethra is 9 mm in diameter, short in length (1.5—2.0) and fixed. Surrounded by the
external sphincter, it acts as a fulcrum during dilatation. It is particularly vulnerable to stricture
formation. The prostatic urethra 5.5 cm long is again fusiform and wide. The blind prostatic utricle (the
remnant of the Mullerian duct in the male) and the ejaculatory ducts open posteriorly on the
verumontanum

Urethral dilatation journal

- pembagian transposisi penoskrotal

Penoscrotal transposition (PST) is a rare anomaly of the external genitalia. The argument whether penis
is malpositioned or scrotum is yet undecided. It can be either complete or incomplete. Incomplete PST
where the penis lies between halves of scrotum is more common.

Incomplete transposition is the common form of this entity and the penis lies in the middle of the
scrotum, but in complete transposition, the scrotum almost entirely covers the penis, which emerges
from the perineum. Both of these conditions are commonly reported to be linked with a wide variety of
abnormalities and pathologies that affect distinct organ systems.

PR TKM + angkatan gugum

- PER