Treatment protocol for male blunt urethral trauma in emergencies in india: outcome of different methods in comparison with other Countries - our experience

Treatment of male urethral trauma is always a challenging problem. In India, as the incidence of urethral trauma keeps rising, more and more studies relating to this are being published. To compare the outcome of different emergency treatments in India and other countries, we searched Indian and English literature about this topic in the past 10 years. Based on the analyses, surgical methods include open realignment, endoscopic realignment and primary repair, and we summarized and compared the success rate and complications (mainly erectile dysfunction and incontinence) of each method. We found that realignment of posterior urethra has similar success rate in India and other countries, but the outcome of realignment of anterior urethra is variable. The reason remains unknown. Whileabandoned long back in Western countries, primary repair of anterior urethra is still an option in India with high success rate.