V05-10 SURGICAL TECHNIQUE: POSTERIOR URETHROPLASTY FOR PELVIC FRACTURE URETHRAL URETHRAL INJURY
Bibliographic record
Abstract
You have accessJournal of UrologyLower-Tract Reconstruction (V05)1 Apr 2019V05-10 SURGICAL TECHNIQUE: POSTERIOR URETHROPLASTY FOR PELVIC FRACTURE URETHRAL URETHRAL INJURY Mélanie Aubé*, Montréal Canada, Ramón Virasoro, and Kurt McCammon Mélanie Aubé*Mélanie Aubé* More articles by this author , Montréal CanadaMontréal Canada More articles by this author , Ramón VirasoroRamón Virasoro More articles by this author , and Kurt McCammonKurt McCammon More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556166.73587.c7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Posterior urethroplasty is the standard of care for pelvic fracture urethral injuries (PFUI). Adjunctive manoeuvres such as corporal splitting, infrapubectomy and corporal rerouting are sometimes necessary to achieve a tension-free anastomosis. Corporal rerouting is rarely necessary, therefore rarely performed. Our objective is to detail the surgical steps and technique for the above-mentioned procedures. METHODS: Our case is that of a 14-year-old boy with PFUI secondary to a motor vehicle accident. The patent was initially managed with a percutaneous suprapubic tube and underwent urethral rest for 3 months. Pre-operative combined retrograde urethrogram and antegrade flexible cystoscopy showed a 6cm distraction defect. Posterior urethroplasty was performed, using corporal splitting, infrapubectomy and corporal rerouting, as detailed in the video. RESULTS: The post-operative course was uneventuful and post-operative imaging perfomed 1 month later showed an open and patient urethra with no extravasation. The patient was doing well at his 6-month post-operative visit. CONCLUSIONS: Adjunctive manoeuvres during posterior urethroplasty may be necessary to obtain a tension-free anastomosis. Knowledge of the surgical techniques is essential for successful surgical outcomes. Source of Funding: None Norfolk, VA© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e585-e585 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mélanie Aubé* More articles by this author Montréal Canada More articles by this author Ramón Virasoro More articles by this author Kurt McCammon More articles by this author Expand All Advertisement PDF downloadLoading ...
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.024 | 0.007 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".