A Clinical Observation on Injuries of the Genitourinary Tract

Chung, O Y

Abstract

The author has made a clinical observation on 159 patients with injuries of the genitourinary tract who were treated at the Department of Urology. Pusan National University Hospital during the 10 years from 1961 through 1970. The results were as follows: 1. Injuries of the genitourinary tract were found in 15.5% of the total admission cases, Malrs were much more the females in incidence (13. 5 times) and the injuries occurred most frequently in the ages of 21 to 40 years. 2. The majority of all the cases was urethral injury (52. 3%) and renal injury the next (18. 3%). Traffic accident was the most frequent cause of the injury (28. 9%) and kick and fall were the next (each 20%). 3. Parenchymal, calyceal and/or capsular lacerations were generally seen in the cases of renal injury. As for the ureter, ligatione and cuttinge during uterine surgery were the only cause of ureteral injury. Extraperitoneal type of bladder rupture was slightly more than intraperitoneal type and the urethra was injured to the bulbous and membranous portions in general. 4. For definitive diagnosis of renal injury, retrograde pyelography is necessary because there might be proportionscase of normal pyelograme on I.V.P.. 5. He-203 neohydrin renal scanning was valuable in determining the severity of the renal injury and the functioning state of the parenchymal tissue but its findings were not always consistent with the degree of parenchyrnal destruction. 6. Nephrectomy was most frequently performed for renal injury but hereafter cases indicating partial nephrectomy may be increased. Ureteroneocyetostomy for ureteral injury, catheter drainage of urine for bladder rupture and urethral injury and incision and drainage and closure for perineal injury were most frequently used respectively.