The Surgical Management of Traumatic Urethral Injury

Kim, Sang O; Lee, Min Sung

Abstract

In order to study the method of management of urethral injury, the clinical observation was made on 47 cases of traumatic urethral injury who were treated at the Department of Urology, National Medical Center, during the period from January, 1970 to December, 1982 . The following results were obtained: 1. Among the 157 cases of genitourinary tract injury during the same period, patients with urethral injury were 47 cases (30.6%) and most frequently involved age group was 20-39 years (51.2%). 2. The most common causes were straddle injury (55,3%) and next were traffic accident (32.0%). 3. The most common site of injury were bulbous urethra (26 cases) and complete rupture were more common than incomplete rupture. 4. Treatment method of urethral injury were primary realignment with interlocking sound (18 cases), excision and end to end anastomosis ( 15 cases), excision and anastomosis with skin graft (4 cases), excision and myocutaneous flap anastomosis (1 case), Badenoch urethroplasty (3 cases), Turner-Warwick skin inlay urethroplasty (1 case), suprapubic cystostomy only (6 cases). 5. The case with urethroplasty through transpubic route were 8 cases. 6. Overall success rate were seventy-five percent.