J Korean Radiol Soc.  1984 Dec;20(4):902-908. 10.3348/jkrs.1984.20.4.902.

Clinical and radiological observation of the lower urinary tract injury

• Kim KJ
• Cho YJ
• Kim YC
• Hur D

• KMID: 2462983
• DOI: http://doi.org/10.3348/jkrs.1984.20.4.902

Abstract

A clinical and radiological obsevation was made on 62 cases of urinary tract injury in the Dept. of urology,Chosun Universtiy hospital during the period from January 1979 to December 1983. The results were as follows; 1.Age distribution of the lower urinary tract injury was the highest in the age 41 to 50(39.6%). The sex ratio, maleto female was 6.8:1. 2. The most common cause of the L.U.T.I. was traffic accident in 23 cases (37.1%) and othersare fall down in 15 cases (24.2%), blunt trauma in 13 cases (21.0%), saddle injury in 8 cases(12.9%). 3. Theradiological finding of the bladder injury shows intraperitoneal extravasation in 11 caess(64.7%), extraperitonealextravasation in 5 cases(29.4%), and deformity of bladder in 12 cases(70.6%). 4. The radiological finding of theurethral injury shows extravasation of contrast media in 44 cases(97.8%). venous intravasation in 11 cases(24.4%),penile urethra in 1 case(2.3%). 6. The L.U.T.I. was associated with pelvic bone fracture in 33 cases (53.2%) esp.pubic bone fracture in 24 cases(38.7%). 7. The complication of the L.U.T.I. was urethral stricture in 24cases(38.7%), fistula formation in 3 cases(4.8%), incontinence in 2 cases(3.2%).

MeSH Terms

Accidents, Traffic
Congenital Abnormalities
Extravasation of Diagnostic and Therapeutic Materials
Female
Fistula
Fractures, Bone
Humans
Pelvic Bones
Sex Ratio
Urethra
Urethral Stricture
Urinary Bladder
Urinary Tract*