A Clinical Observation on Injuries of Genito-Urinary Tract

Lee, Sye Ill; Chang, Sae Kook

Abstract

A clinical observation was made on patients with injuries of the genitourinary tract, who were admitted to the department of Urology, Kyungpook National University Hospital during 7 years period from January, 1976 to December, 1982 and the results were as follows. Out of 1821 total hospital admission, 390 were due to injuries of the G-U tract, giving rate of 21.4%. Sex ratio, male to female, was 9:1. The most frequently involved age group was the 3rd decade, being 26.7% of total, followed by the 4th and fifth decade,67.7% of total was seen in age group of 20 to 49 years. Urethra was the most commonly involved organ comprising 153 (38.3%) out of 399 cases of injured organs of the G-U tract, followed in frequency by kidney in 118 (29.6%) and bladder in 71 (17.8%). Traffic accident was the most frequent cause of the G-U injuries (41.5%), followed in frequency by fall (24.2%) and kick and blow (9.7%). In detail, the most frequent cause in the renal, bladder and urethral injuries was traffic accident, while iatrogenic ones in the ureteral and external genitalia injuries. The most commonly associated injure was chest injury in cases of renal injuries (11.0%) , while pelvic bone fracture in bladder (43.7%) and urethral injuries (38.9%). The major treatment modality was conservative management in renal injuries (62.7%), primary repair in bladder injuries (62.7%) and suprapubic cystostomy in urethral injuries (29.4%) .