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Immediate Repair Successful After Urethral Injury

Case report described successful immediate reconstruction of a membranous urethral injury recognized during rectal cancer surgery.

  • By

  • Mouj Hijazi

  • July 2, 2026

  • 3 min

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Clinical Report: Immediate Repair Successful After Urethral Injury

Overview

Immediate urethral reconstruction during rectal cancer surgery was performed in a case report of a 57-year-old male. Follow-up over four years showed no stricture or incontinence.

Background

Urethral injury during rectal surgery is a recognized but uncommon complication, with reported incidences ranging from 0.1% to 2%. The membranous urethra's proximity to the rectum makes it particularly vulnerable during surgical procedures.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • Immediate urethral reconstruction was performed successfully during rectal cancer surgery.
  • The patient experienced preserved urinary function with no evidence of stricture or incontinence at four years post-surgery.
  • The urethral injury was identified as a partial tear of the dorsal membranous urethra, measuring approximately 10 mm.
  • Five interrupted absorbable sutures were used for repair, confirmed watertight with saline injection.
  • Flexible cystoscopy at five months post-surgery showed no anastomotic stricture.

Clinical Implications

Immediate reconstruction of urethral injuries during rectal surgery may be appropriate when the patient's condition is stable.

Conclusion

This case report discusses immediate urethral reconstruction during rectal surgery.

Related Resources & Content

  1. Sou Kimura, IJU Case Reports, 2023 -- Immediate Repair Successful After Urethral Injury
  2. World Journal of Urology — Non-operative management of early onset small urethrocutaneous fistula post hypospadias repair: a systematic review
  3. Evaluating Risk Factors for Recurrence and Complications in Posterior Urethroplasty Following Pelvic Fracture Urethral Injuries
  4. World Journal of Urology — Can the use of a visual obturator-assisted resectoscope reduce the incidence of urethral strictures after TURP?: a multicenter propensity-matched study
  5. Determinants Affecting the Success of Open Urethroplasty for Pelvic Fracture Urethral Defects: Insights from a Single High-Volume Tertiary Care Facility
  6. EAU Guidelines on Urological Trauma - UROGENITAL TRAUMA GUIDELINES
  7. American Urological Association (AUA) Guideline: UROTRAUMA
  8. Urethral Injury in Rectal Cancer Surgery: A Comprehensive Study Using Cadaveric Dissection, Imaging Analyses, and Clinical Series - PMC

Original Source(s)

Immediate Repair Successful After Urethral Injury

  • by Mouj Hijazi

  • July 2, 2026

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