A Clinical Observation of Urethral Injury

Noh, Sio Gyun; Park, Yang Il

Abstract

A clinical observation was made on the injuries of urethra of the in-patient at Department of Urology, Chosun University Hospital during the period from February, 1972 to August, 1981. The results were as follows: 1. Of all 1142 cases hospitalized, 75 cases were injury of urethra, giving a rate of 6.6%. 2. The most prevalent group ranged from 21 to 30 years (22.7%). The sex ratio, male to female was 11.5:1. 3. The most frequently involved site was anterior urethra (46.7%)and the others were the posterior urethra (46.3%)and female urethra (8.0%). 4. The most common cause of urethral injury was traffic accident (48.0%)and followed by falling and straddle injury (38.7%), kick and blow (8.0%)etc. 5. Among 75 cases of urethral injury, the pubic bone fracture was associated in 33 cases (44.0%). 6. The incidence of impotence was higher in the case of posterior urethral injury. 7. Of the 49 cases of urethroplasty, anterior urethroplasty was performed in 16 cases, of which a primary realignment procedure was conducted in 8 cases, a perineal urethroplasty in 7 cases and a primary closure in one case Of the 49 cases of urethroplasty, posterior urethroplasty was performed in 30 cases, of which a primary realignment procedure was conducted in 22 cases, a perineal urethroplasty in 4 cases, a Badenoch's pull through urethroplasty in 3 cases after long-term suprapubic cystostomy and a transpubic urethroplasty in one case after long-term suprapubic cystostomy. Female urethroplasty was performed in 3 cases, of which 2 cases underwent a vaginal closure and one case a primary closure. 8. The complications of anterior urethral injury were urethral stricture (5 cases), urinary fistula (4 cases), impotence (1 case)and urethral diverticulum (1 case). The complications of posterior urethral injury were impotence (15 cases), urethral stricture (12 cases)urethral diverticulum (2 cases), urinary fistula (1 case)and incontinence (1 case). The complication of female urethral injury was incontinence in 2 cases.