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Case Reports in Urology
Volume 2014, Article ID 176073, 5 pages
http://dx.doi.org/10.1155/2014/176073
Case Report

Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption

Department of Urology, Medical University Innsbruck, 35 Anich Street, 6020 Innsbruck, Austria

Received 27 February 2014; Accepted 10 August 2014; Published 2 September 2014

Academic Editor: Apul Goel

Copyright © 2014 Peter Rehder et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The question is whether the urethral sphincter may be reconstructed after longitudinal injury similar to anal sphincter injuries. Analogue to obstetric, anal sphincter repair, an approximation repair of the sphincter may be feasible. An overlap repair is possible in anal sphincter repair, but because of the little tissue available in the urethral sphincter this is not an option. We describe three cases of urethral sphincter injury of different aetiologies. All resulted in a total longitudinal disruption of the muscular components of the urethral sphincter complex. After making the diagnosis of urethral sphincter injury, a primary approximation repair was done. Follow-up of at least two and up to three years is promising with one male patient being completely continent and the two female patients needing one safety pad per day. Longitudinal disruption of the muscular elements of the sphincteric urethra may be primarily reconstructed with good success using an approximation technique with simple interrupted sutures.