Maxx A. Gallegos, MD, presented “Pelvic Fracture Urethral Disruption: The Hardest Straightforward Case” at the 27th Annual Innovations in Urologic Practice conference on September 22nd, 2023.
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How to cite: Gallegos, Maxx A. “Pelvic Fracture Urethral Disruption: The Hardest Straightforward Case.” September 2023. Accessed Nov 2024. https://grandroundsinurology.com/pelvic-fracture-urethral-disruption-the-hardest-straightforward-case/
Pelvic Fracture Urethral Disruption: The Hardest Straightforward Case – Summary
Maxx A. Gallegos, MD, discusses Pelvic Fracture Urethral Disruption/ Injury (PFUI), including its etiology, diagnosis, preoperative planning, and treatment. He begins by debunking a few myths about the location of PFUIs and their etiologies.
Dr. Gallegos then presents the process of diagnosis for PFUIs and discusses which tools are inappropriate for diagnosis and preoperative planning. He discusses the benefits and setbacks of preoperatively treating PFUI patients with Primary Realignment versus Super Pubic Tube alone.
Dr. Gallegos then outlines the reconstruction challenges associated with treating PFUIs. He notes that while the surgical steps are straightforward, complications due to the number of required sutures, lack of urethral length, and proximity to the rectum are common.
He concludes by sharing tips, tricks, and best practices for successful urethral reconstruction after a PFUI. He compares the outcomes for males and females and presents examples of each.
About The 27th Annual Innovations in Urologic Practice:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Dr. Maxx A. Gallegos is an Assistant Professor of Urology in the Department of Surgery at the University of New Mexico Health Sciences Center in Albuquerque. He also serves as the Associate Resident Program Director in the Division of Urology there. He graduated with honors from the University Of Kansas School Of Medicine in 2011. From 2016 to 2017, he worked as a reconstructive urologist at Detroit Medical Center in Michigan. In addition to his positions at UNM, Dr. Gallegos also has a private practice in Albuquerque. He is an expert in plastic surgery of the urogenital system, and his clinical interests include urethral and ureteral reconstructive surgery, genital aesthetic surgery, urologic prosthetics, genital/urinary trauma, and adolescent to adult urologic care. Dr. Gallegos is a Fellow of the Alpha Omega Alpha Honor Medical Society and a member of the American College of Surgeons.
