J Trauma Inj.  2023 Jun;36(2):161-164. 10.20408/jti.2022.0056.

Spontaneous recanalization of complete urethral injury treated by suprapubic cystostomy alone after severe pelvic bone fracture in a young male in Korea: a case report

• Shin HK
• Moon GH
• Jeong SY
• Lee HJ

• KMID: 2543746
• DOI: http://doi.org/10.20408/jti.2022.0056

Abstract

Injury to the genitourinary tract is rare, with an incidence of less than 1%. Younger men (mean age, approximately 30 years) are predominantly affected. We introduce an unusual case of a 25-year-old male patient with complete urethral injury combined with a severe open pelvic bone fracture. During the emergency surgery, the primary realignment of the posterior urethra could not be performed due to a large defect. With suprapubic cystostomy alone, follow-up voiding cystourethrography showed spontaneous recanalization of the transected urethra after four months. Suprapubic cystostomy is an efficient treatment option when primary realignment is not possible.

Keyword

Urethra; Pelvic bones; Wounds and injuries; Cystostomy; Case reports