Korean J Urol.
2001 Jun;42(6):603-608.
Analysis of Lower Urinary Tract Injury Associated with Pelvic Fracture
- Affiliations
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- 1Department of Urology, Dankook University College of Medicine, Cheonan, Korea.
Abstract
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PURPOSE: The purpose of this study was to determinate a relationship of pelvic fracture,
lower urinary tract injury and injury severity scale (ISS) in multiple organ injury patients.
MATERIALS AND METHODS
We retrospectively reviewed the results collected from 54
cases with pelvic fracture associated with lower urinary tract injury during the period
of 6 years. Emphasis was placed on the relationship of location of pelvic bone fracture,
number of fractured rami, lower urinary tract injury and ISS.
RESULTS
The most common cause of pelvic fracture was traffic accident giving the
rate of 65.5% (38 cases). The highest score of ISS was 39.3 in pedestrian injury.
Fracture of unilateral multiple rami was most common (29.3%). Among lower urinary
tract injuries, urethral injury was most common giving the rate of 44.8% (26 cases).
Among single urethral injuries, the type I injury was most common (50%). Suprapubic
cystostomy was most common method (44.8%) in initial management. Complications
of lower urinary tract injury were predominant in urethral injury and most common
complication was urethral stricture (44.8%). Mortality rate was 5.2%.
CONCLUSIONS
The risk of urethral injury is influenced by the number of broken pubic
rami, but bladder injury by fractured bone site. ISS score was correlated with mortality
rate.