A Clinical Observation on Gross Hematuria

You, Seung Woo; Kim, Ho Sung

Abstract

A clinical observation was made on 127 cases of gross hematuria who were admitted to the Department of Urology, Chosun University Hospital during the period from January, 1980 to October, 1982. The following results were obtained: 1. During the period, 127 cases (23. 1%) were found to be gross hematuria among 551 cases hospitalized. Of the 127 patients there were 95 males and 32 females, 3:1 in ratio. 2. The common diseases of gross hematuria were bladder tumor, renal injury, urethral injury tuberculosis of GUT, renal stone and ureteral stone. 3. Age distribution showed that 24 cases (18.9%) were 40-49 years, 21 cases (16.5%) were 20-29years and most frequent (67 %) ages were 20-59 years. 4. Etiology of the gross hematuria were highest in injury (34.6%), tumor (24.4 %) and calculus (18.9%). 5. The sites of the bleeding with gross hematuria were in the kidney (38.6%), bladder (30.0%), urethra (13.3 %), ureter (7.9 %), and prostate (4.7 %). 6. Incidence of painless and painful gross hematuria were 55.1% and 44.9%, the commonest cause was renal injury in the painless gross hematuria, urethral injury in the painful gross hematuria. 7. The incidence of initial, terminal and total gross hematuria were 4.7%, 22.1% and 73.2%. 8. The surgical treatment was required in 48 cases (37.8%) of inpatients with gross hematuria.