Clinical Observation on Injuries of Genitourinary Tract / 대한비뇨기과학회지

ABSTRACT

A clinical observation was made on the injuries of genitourinary tract of in-patient in the department of urology, catholic medical center during the period from Jan. 1972 to Dec. 1981. The results were as follows: 1. Of 4,167 cases hospitalized, 217 cases were injury of genitourinary tract, giving a ratio of 4.9%. 2. The favorable age was from 10 to 39 years for 65.0%. The sex ratio, male to female, was 3.8:1. 3. Traffic accident was the most frequent cause of the injury (35.1%)and the next were fall down, kick and blow etc. The urethra was involved most frequently in 37.2% and the next were kidney in 31.6%, bladder in 16.0%, external genitalia in 12.2% and ureter in 3.0%. 4. The fracture was the most frequent associated injury (90.4%)and the next were intestinal injury and hemothorax. The site of the fracture were pelvis, rib, skull, vertebrae and others. 5. The treatment of the renal injury was conservative treatment frequently (78.1%)and 16 cases were undergone operation (nephrectomy in 6, partial nephrectomy in 5, renorrhaphy in 3 and removal of subcapsular hematoma in 2). The posterior urethra was involved more commonly and the preferable treatment was immediate cystostomy and later reconstruction.