A Clinical Observation on Injuries of Genito-Urinary Tract

Chung, Duck Young; Yun, Nung Su

Abstract

A clinical observation was made on the injuries of genitourinary tract of the in-patient in the department of urology, Chungnam National University Hospital during the period from March, 1974 to February, 1978. The results are as follows. 1. Of 403 cases hospitalized, 73 cases were injury of genitourinary tract, giving a ratio of 18.1 %. 2. The most prevalent age was from 21 to 40 for 49.3 %. The sex ratio, male to female, was 3.3:1. 3. There was increasing tendency of genitourinary tract injury annually. 4. Traffic accident, fall or straddle and kick or blow were the most frequent causes of the injury in 23.3 % respectively and the next was iatrogenic in 15.1 %. 5. The urethra was involved most frequently in 45.2 % and the next was bladder in 23.3 % the kidney in 19.2 %, the external genitalia in 8.2 % and the ureter in 4.1 %. 6. Among the 17 cases of bladder injuries, 10 cases were vesico-vaginal fistulas. All 9 patients taken repair of fistula, were cured successfully with first attempt. 7. Operation was performed in 5 cases of 14 renal injuries. 8. Three of 7 bladder ruptures were accompanied with pelvic bone fracture. 9. 10 of 33 urethral injuries were accompanied with pelvic bone fracture. Posterior urethral injury was more common in traffic accident with pelvic bone fracture and bulbous urethral injury was more common in straddle injury.