Clinical Observation on Injuries of Genitourinary Tract

Nam, Sang Eun

Abstract

A clinical observation was made on the injuries of genitourinary tract of the in-patient in the Department of Urology, Capital Armed Forces General Hospital during the period from January, 1974. to December, 1979. The results were as follows: 1) Of 1524 cases hospitalized, 184 cases were injuries of genitourinary tract giving a rate of 12.1%. 2) The most favorable age was in from 20 to 29 years for 65.8%. The sex ratio, male to female, was 13.2:1. 3) The kidney was involved most frequently in 30.9%, and the next was external genitalia in 28.9 %, the urethra in 21.1%, the bladder in 17.6% and the ureter in 1.5%. 4) Traffic accident was the most frequently in 30.9%, and the next was external genitalia in 28.9%. All 3 ureteral injuries were caused by gunshot. The kick or blow was the most frequent cause of injuries to the bladder(41.7%) and external genitalia (45.8%). 5) For the treatment of renal injuries, expectant management was performed in 43cases and operation in 20 cases. 6) Among 36 bladder injuries, intraperitoneal rupture in 16 cases was close to extraperitoneal rupture in 15 cases. The rests were contusion in 3 cases and vesicovaginal fistula in 2 cases. 7) The bulbous portion in 24 cases was involved most frequently in urethral injury, the next was membranous portion in 18 cases and the pendulous portion in only 1 case.