Experience with Management of the Posterior Urethral Injury

Gu, Seung Seo; Kim, Bong Guk

Abstract

A clinical experience with management was made on 65 cases of posterior urethral injury in the Department of Urology, Jeonbug National University Hospital during the period. From January, 1978 to December, 1982. The results were as follows: 1. The number of the posterior urethral injury was 65 cases. 2. Age distribution of the posterior urethral injury was the high test in the age 20-49 (66%). 3. The most common cause of the posterior urethral injury was industrial injury in 44 cases and traffic accident in 21 cases. 4. Initial managements of posterior urethral injury were Foley catheter indwelling in 8cases, cystostomy only in 20 cases and primary realignment in 37 cases. 5. Of 65 cases, urethral stricture after initial management developed in 34 cases. 6. Among 34 cases of the urethral stricture, various delayed managements were performed, including sounding in 19 cases, transpubic urethroplasty in 5 cases, urethral end-to-end anastomosis by perineal approach in 9 cases and cystostomy in 1 case.