A Clinical Observation of Urethral Injury / 대한비뇨기과학회지

A clinical observation was made on the injuries of urethra of the in-patient at Department of Urology, Chosun University Hospital during the period from February, 1972 to August, 1981. The results were as follows: 1. Of all 1142 cases hospitalized, 75 cases were injury of urethra, giving a rate of 6.6%. 2. The most prevalent group ranged from 21 to 30 years (22.7%). The sex ratio, male to female was 11.5:1. 3. The most frequently involved site was anterior urethra (46.7%)and the others were the posterior urethra (46.3%)and female urethra (8.0%). 4. The most common cause of urethral injury was traffic accident (48.0%)and followed by falling and straddle injury (38.7%), kick and blow (8.0%)etc. 5. Among 75 cases of urethral injury, the pubic bone fracture was associated in 33 cases (44.0%). 6. The incidence of impotence was higher in the case of posterior urethral injury. 7. Of the 49 cases of urethroplasty, anterior urethroplasty was performed in 16 cases, of which a primary realignment procedure was conducted in 8 cases, a perineal urethroplasty in 7 cases and a primary closure in one case Of the 49 cases of urethroplasty, posterior urethroplasty was performed in 30 cases, of which a primary realignment procedure was conducted in 22 cases, a perineal urethroplasty in 4 cases, a Badenoch's pull through urethroplasty in 3 cases after long-term suprapubic cystostomy and a transpubic urethroplasty in one case after long-term suprapubic cystostomy. Female urethroplasty was performed in 3 cases, of which 2 cases underwent a vaginal closure and one case a primary closure. 8. The complications of anterior urethral injury were urethral stricture (5 cases), urinary fistula (4 cases), impotence (1 case)and urethral diverticulum (1 case). The complications of posterior urethral injury were impotence (15 cases), urethral stricture (12 cases)urethral diverticulum (2 cases), urinary fistula (1 case)and incontinence (1 case). The complication of female urethral injury was incontinence in 2 cases.

Mobilization of the Urethra in the Surgical Treatment of Hypospadias: Report of a Case / 대한비뇨기과학회지

Urethral mobilization is an adjunctive surgical technique for improving the position of the urethral meatus in a hypospadias operation. In our patient with mild degree of hypospadias and chordee the mobilized urethral meatus was placed out onto the glans without constructing a neourethra.

A Clinical Observation on Benign Prostatic Hypertrophy / 대한비뇨기과학회지

A clinical study was made on 73 cases of benign prostatic hypertrophy admitted to the Dept. of Urology, Chosun University Hospital during the period from Jan. 1977 to Dec. 1981. The results were as follows: 1. The admission rate was 8.5%, 73 cases of all 856 cases hospitalized. 2. The patient age ranged from 49 to 90 years, with a mean of 71.6 years and the seventh decade (45.2%) was most frequent. 3. The mean duration of the symptom was 32.8 months, with a range of 15 days to 15 years. The presenting symptom in 61 cases (83.6%) were frequency, in 52 cases (71.2%) dysuria, in 43 cases (58.9%) acute onset of urinary retention etc. 4. The urinalysis revealed hematuria in 38 cases and pyuria in 33 cases and the blood chemistry showed elevated BUN in 21 cases and elevated creatinine in 14 cases. 5. The endoscopic examination performed in 60 cases revealed trabeculation in 52 cases (86.7%), kissing of lateral lobes in 47 cases (78.3%) and enlarged median lobe in 34 cases (56.7%) etc. 6. The surgical treatment was performed in 35 cases of total 73 cases, of which suprapubic prostatectomy was underwent in 27 cases and T.U.R. in 8 cases. 7. The mean amount of blood transfusion was 1.7 pints in the suprapubic prostatectomy and 0.4 pints in the T.U.R. The mean weight of removed prostatic tissue was 33.6gm. in the suprapubic prostatectomy and 4.3gm. in the T.U.R. 8. The duration of postoperative catheter drainage averaged 13.3 days in the suprapubic prostatectomy and4.5 days in the T.U.R. 9. The complications of prostatectomy were temporary incontinence in 12 cases (34.3%), delayed hematuria in 8 cases (22.9%), acute epididymitis in 4 cases (11.4%), wound infection in 3 cases (8.6%) and inability to void in one case (2.9%).