Clinical Observation on Injuries to Male Urethra

Chung, Byoung Dong; Hong, Tae Ui

Abstract

The urethral injuries are seemed to be increasing every year by development of various machine. Because sequelae of urethral injury vary with nature site of trauma, We observed the differences between bulbous and membranous, complete and incomplete injury. From retrospective study of 28 operated cases, following results were obtained. 1. High incidence of urinary tract infection (53.6% of total cases) was noted after primary operation of urethral rupture. 2. The incidence of urinary tract infection in non-fenestrated catheter was higher than that of fenestrated catheter. 3. Added suprapubic catheter was helpful in cases with periurethral fistula and abscess. 4. The incidence of impotence was higher if the rupture was membranous, and if there was pelvic bone fracture. 5. Peri-catheter urethrogram could serve diagnosis of periurethral abscess or diverticula which would indicate removal of the urethral catheter in favor of suprapubic cystostomy.