Korean J Urol.
1999 Jul;40(7):827-830.
Comparison of Complication of Anterior Urethral Injury by Initial Management Methods
- Affiliations
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- 1Department of Urology, School of Medicine, Soonchunhyang University, Seoul, Korea.
Abstract
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PURPOSE: We compared the results of immediate and conservative managements of anterior urethral injury by the degree of injury.
MATERIALS AND METHODS
We reviewed the medical records of 95 cases of anterior urethral injury from May 1989 to January 1998. The age of these patients ranged from 2 to 67 years(mean age 39.6+/-3.1). The degree of anterior urethral injury was classified by the finding of retrograde urethrography. Type I was classified as contusion or urethral laceration, extravasation due to partial urethral rupture, and type II was classified as extravasation due to total urethral rupture. Both type I and type II are managed by immediate(urethral foley catheterization or primary realignment or end to end anastomosis) and conservative(observation or suprapubic cystostomy insertion)management.
RESULTS
There were 47 cases(49.5%) in type I and 48 cases(50.5%) in type II. The associated injuries were 36 cases(37.9%). The duration of catheter indwelling in type I was 9.0+/-5.8 days in immediate management and 9.4+/-6.4 days in conservative management. That of type II was 21.7+/-9.5 days in immediate management and 27.6+/-8.5 days in conservative management. The complications of type I were 2 cases(6%) in immediate management and 1 case(7%) in conservative management. That of type II were 10 cases(31.3%) in immediate management and 11 cases(68.8%) in conservative management.
CONCLUSIONS
Although conservative management is preferable in anterior urethral injury in general, we recommend immediate management regardless of the degree.
