Clinical Observations on Injuries of Genito-Urinary Tract

Suh, Suck Joo; Chang, Sae Kook

Abstract

Clinical observations were made on the injuries of the genito-urinary tract of the in-patients in the Department of Urology, Kyungpook National University Hospital during the period from January, 1971 to December, 1975. The results were as follows. Of 732 Cases hospitalized, 180 cases were injury of the genitourinary tract, giving a rate of 24. 6%. Most favorable age was in from 20 to 39 years for about 50%. The sex ratio, male to female, was 5.4 : 1. The urethra was involved most frequently (32.5%), the external genitalia in 20.4 %, the bladder in 13.6 % and the ureter in 3.7%. Traffic accident was the most frequent cause of the injury (36.1%) and the next was kick and blow, fall from a height etc. In detail, traffic accident was the most frequent cause of the renal, bladder and urethral injuries. The most ureter injury was iatrogenic. The kick and blow was the most frequent cause of the injuries of the external genitalia. Contusion was the most frequent type of 57 renal injuries (35 cases). On observations of 57 renal injuries, 41 cases were treated conservatively, and operation was performed in 16 cases (nephrectomy 10, partial nephrectomy 4, renorrhaphy 2.). In 26 bladder injuries, extraperitoneal type (15 cases) was more than the intraperitoneal type (11 cases). 10 cases were associated with pelvic bone fracture (38. 5%), On 28 cases out of 62 urethral injuries were associated with pelvic bone fracture (45.2%).