Urological Injuries Associated with Pelvic Trauma

Choi, Seong Ho; Yoon, Jong Byung

Abstract

We have reviewed 51 consecutive cases of pelvic fractures with lower urinary tract injuries at Busan National University Hospital from 1974 to 1978 to establish the relationship between the severity of lower urinary tract injuries and types of bone injuries. The results were summarized as follows: 1)The lower urinary tract injuries with pelvic fractures occurred most commonly in the male, ranging in age from 21 to 50 years old. 2)35 of the 51 patients (70.6%) with lower urinary tract injuries were accompanied by pubic rami fractures, the urethral injuries were chiefly accompanied by unilateral or bilateral pubic rami fractures and bladder ruptures were mainly accompanied by straddle fractures or dislocation of the pelvis. 3. Milder degree of urethral injuries occurred more likely in the patients with unilateral pubic ramus fractures, whereas more severe urethral injuries occurred frequently in the patients with bilateral pubic rami fractures, straddle fractures or with total disruption of the pelvis.