Clinical Observation on Injuries of Genitourinary Tract / 대한비뇨기과학회지

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.

A Clinical Observation on the Injuries of the Genitourinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuring of genitourinary tract of in-patients in the Department of Urology, Soon-Chun-Hyang College Hospital during the period from January. 1977 to December, 1980 for 4 years. There results were as follows; 1. Of 505 cases hospitalized, 86 cases have shown injuries of genitourinary tract, giving a ratio of 17%. 2. The age ranged from 4 to 67 years, and of these cases the favorable ages were those from 11 to 40 years for 73.3%. 3. Traffic accident was the most frequent cause of the injuries it 54.7%. 4. The kidney was involved most frequently (41.9%) and the involvement of the urethra was 27.9%. 5. Nephrectomy was performed in 6 cases (16.7%) of 36 renal injuries. 6. The ureteral injuries were occurred by traffic accident in 1 case and during uterine surgery in 1 case. 7. Six cases of 15 bladder injuries and 14 cases of 24 urethral injuries were accompanied with pelvic bone fracture.

Clinical Observation on Injuries of Genitourinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuries of genitourinary tract of the in-patient in the Department of Urology, Capital Armed Forces General Hospital during the period from January, 1974. to December, 1979. The results were as follows: 1) Of 1524 cases hospitalized, 184 cases were injuries of genitourinary tract giving a rate of 12.1%. 2) The most favorable age was in from 20 to 29 years for 65.8%. The sex ratio, male to female, was 13.2:1. 3) The kidney was involved most frequently in 30.9%, and the next was external genitalia in 28.9 %, the urethra in 21.1%, the bladder in 17.6% and the ureter in 1.5%. 4) Traffic accident was the most frequently in 30.9%, and the next was external genitalia in 28.9%. All 3 ureteral injuries were caused by gunshot. The kick or blow was the most frequent cause of injuries to the bladder(41.7%) and external genitalia (45.8%). 5) For the treatment of renal injuries, expectant management was performed in 43cases and operation in 20 cases. 6) Among 36 bladder injuries, intraperitoneal rupture in 16 cases was close to extraperitoneal rupture in 15 cases. The rests were contusion in 3 cases and vesicovaginal fistula in 2 cases. 7) The bulbous portion in 24 cases was involved most frequently in urethral injury, the next was membranous portion in 18 cases and the pendulous portion in only 1 case.

A Clinical Observation on Injuries of Genito-Urinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuries of Genito-Urinary Tract of the in-patient in the Department of Urology, Chonnam University Medical School during the period from August. 1969 to July. 1975. The results are as followings. 1) Of 771 cases hospitalized, 74 cases were injury of genitourinary tract, giving a ratio of 9.6%. 2) Traffic accident was the most frequent cause of the injury(33.8%) and the next was fall from a height, kick and blow etc. 3) The most favorable age was in from 21 to 40 years for 51.6%. The sex ratio, male to female, was about 4:1. 4) The urethra was involved most frequently in 43.2%, the kidney in 23.0%. the bladder in 16.2%, the ureter in 10.8% and the external genitaria in 6.8%. 5) Operation was performed in 6 cases of 17 renal injuries. 6) Five of 12 bladder injuries and 10 of 32 urethral injuries were accompanied with pelvic bone fracture.

A Clinical Observation on Injuries of Genito-Urinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuries of Genito-Urinary tract of the in-patient in the Department of Urology, Seoul National Medical Center during the period from January. 1970, to December, 1973. This result are as follows. 1) Of 545 cases hospitalized, 67 cases were injury of genitourinary tract, giving a ratio of 12.3%. Automobile accident was the most frequent cause of the injury (43.3%) and the next was kick and blow, straddle injury, etc. 2) most favorable age was in from 20 to 40 years for 60%. The sex ratio, male to female, was 5:1. 3) The urethra was involved most frequently (41.8%), the kidney in 23.8%, the bladder in 16.4% the external genitalia in 12%, and the ureter in 6%. 4) Operation was performed in 4 cases of 16 renal injuries. 5) Of 28 cases of urethral injuries, 12 cases were associated with pelvic bone fracture.

Statistical Observation on Genitourinary Tract Injury due to Traffic Accident / 대한비뇨기과학회지

2,149 injury cases due to traffic accident who visited to emergency room of Woo Sok University Medical College Hospital during the period of 3 years and 8 months from Jan. 1967 to Aug. 1969, were Studied statistically and following results were obtained. 1) Traffic injury revealed increasing tendency every year. 2) Observing from the view point of seasonal distribution, traffic accident occurred more frequently in Autumn and in Spring. 3) The neurosurgical patients were the most in number, and Genitourinary tract injury were 27 cases, about 1.21% of total. 4) The age group ranging from 21 to 40 years of age (working age group) and children (0 ~ 10 year of age) were apt to get traffic injury. 5) From 1960 to 1963, most of injury cases were male but after 1963, female patients have been increasing gradually. Statistical and clinical observation for 53 inpatients with genitourinary tract injury due to traffic accident during the period of 9 years and 8 months from Jan. 1960 to Aug. 1969 was performed and following results were obtained. 1) In sex distribution, patients were almost male 2) Patients in age group ranging from 21 to 30 were predominant, and children were quite rare. 3) From the view point of organ distribution, urethral injury was the most in number (25 cases, 47%), bladder injury was the second (15 cases, 28.30%) and renal injury was the 3rd (5 cases, 8.43%).

A Clinical Observation on Injuries of Genito-Urinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuries of genito-urinary tract of the in-patients in the Department of Urology, Kyungpook National University School of Medicine during the period from January, 1964 to December, 1970. The results were as follows. 1) Of 757 cases hospitalized, 145 cases were injury of genito-urinary tract, giving a rate of 19.2%. Traffic accident was the most frequent cause of the injury (56.3%). 2) Most favorable age was in from 20 to 50 years for 53%. The sex ratio, male to female, was 5 : 1.3) The urethra was involved most frequently (41. 4%), the kidney in 22.1%, the bladder in 18.6%, the external genitalia in 11.7%, and the ureter in 6.2%. 4) Of 32 cases of renal injuries, 23 cases were treated conservatively. 5) Of 60 cases of urethral injuries, 18 cases were associated with pelvic bone fracture (30%).

A Clinical Observation on Injuries of Genitourinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuries of the genitourinary tract of the inpatient in the Department of Urology, Third Army Hospital during the period from Jan. 1967 to Dec. 1969. The results are as follows: 1. 56.13% of all patient were due to automobile accident and 15.78% were due to gunshot wound and then falls(14.04%), stab wound (8.77%). 2. The most common involvement site was in urethra for 61.15% while external genitalia showing most common site in war wound. 3. In investigating bladder injuries, 63.64% of injuries were associated with pelvic bone fracture and 72.7% was extraperitoneal type and 27.3% was in intraperitoneal type. 4. The complication of urethral injury were urethral stricture (52. 78%) and impotence.

A Statistical Observation on Gentio-Urinary Tract Injuries of Korean Army in Vietnam War / 대한비뇨기과학회지

A statistical observation was made on Genito-Urinary-tract injuries of Korean Army Personnels in Vietnam War during the period of September, 1965 to September, 1970. and the following results were obtained. 1. The Genito-Urinary-tract injuries were 128 cases (5.1 per cent) among 2493 war casualities. 2. As for the causes of injuries, 72 cases (56.2 per cent) were caused by gunshot, 28 (21.8 per cent) by boobytrap, 15 (11.7 per cent) by crush, and 5 (3.9 per cent) by grenade. 3. Concerning the frequency of injuries in each organ, 33 cases (25.0 per cent) were observed in bladder, 30 (23. 4 per cent) in urethra, 28 (21.8 per cent) in kidney, 27 (21.0 per cent) in scrotum and testis, 5 (3.9 per cent) in penis, 4 (3.1 per cent) in ureter, and 1 (0.7 per cent) in prostate. 4. The incidence of Genito-Urinary-tract injuries associated with the other organs was as follows. In kidney injuries, 9 cases were associated with intestine, 8 with liver, 8 with spleen, and one each with radial nerve and iliac vessel. In ureter injuries, 4 cases were associated with intestine. In bladder injuries, 7 cases were associated with intestine, 1 with spleen, 15 with pelvic bone, 3 with femur, one each with head and foot. In urethral injuries, 4 cases were associated with intestine, 13 with pelvic bone, 6 with femur, and one with head. In penis injuries, one case was associated with pelvic bone, and 2 with femur. In scrotum and testis injuries, one case was associated with intestine, 8 with pelvic bone, 7 with femur, and one each which head and foot. In prostate injury, one case was associated with intestine. 5. As for the multiplicity of Genito-Urinary-tract injuries, 9 cases were observed in scrotum, testis and urethra, 3 in scrotum, testis and penis, 3 in bladder and urethra, 1 in bladder and prostate. 6. The evacuation time from battle fields to the evacuation hospital was one hour in average by helicopter.

Injury of the Genitourinary Tract, Sung Won Kwon. M.D. and Dong Han Kim. M.D / 대한비뇨기과학회지

Ninety-one cases of genitourinary tract injuries which were admitted to Severance Hospital during the period from Jan. 1960 to Aug. 1968 were analyzed clinically and statistically. And it was investigated compared with previous papers 1) The rate of genitourinary injuries accounted for 7.3 per cent to the total admission patients during eight years sixty-nine per cent of all injuries were in men and thirty-one per cent in women. The age distribution was much the same as that found in previous literature. Most favorable age was in from 20 to50 years for 72.5 percent 2) The meet common involvement site was in urethra for32.9 per cent while external genitalia showing most common site in war wound Also iatrogenic ureteral injuries was relatively high in spite of most less commonest incidence in previous paper 3) Thirty-six per cent of all injuries weredue to traffic or vehicular accident and twenty-four per cent 'due to iatrogenic. Majority of these iatrogenic injuries occurred in pelvic operation. Falls kick and blow were listed not less frequently. 4) On observation of kidney injuries. predisposed hydronephrotic kidney was injured more frequently due to mild external forces and three cases of sixteen kidney injuries had hydronephrosis dueto stone and congenital ureteral stricture in this series 5) An incidence of ureteral injury during radical hysterectomy was variable in literature. but it was noted around 10 percent generally. In reviewing 197 cases of radical hysterectomy for carcinoma of cervix, incidence of ureteral injuries was 12 cases(7.3 per cent) and it was listed 9.3 percent including bladder injuries. 6) In investigating bladder injuries, 53 percent of injuries were associated with pelvic bone fracture And 87 per cent was extraperitoneal type and 13 per cent wasin intraperitoneal rupture. 7) Also majority of urethral injuries were associatedwith pelvic bone fracture especially in car accident cases and then involved posterior urethra for 85 per cent. And bulbous urethra was injured by straddle injury for 70 per cent.

A Statistical Observation on Genitourinary-tract Injuries of Korean Army in Vietnam War / 대한비뇨기과학회지

A statistical observation ryas made on Genito-Urinary-Tract injuries of Korean Army Personnel in Vietnam War during the period of November, 1965 to November, 1966. and the following results were obtained. 1. The Genito-Urinary-Tract injuries were 15 cases(5.3 per cent) among 825 war causalities. 2. As for the causes of injuries, 25 cases (55.5 per cent) were caused by gunshot, 9(20.O per cent) by booby trap, 5(11. O per cent) by mortar, 3(6.6 per cent) each by crush and grenade. 3. Concerning the frequency of injuries in each organ, 12 cases (6. 6 per cent) each were observed in urethra, in scrotum and testis, 10 (22.2 per cent) in kidney, 8 (17.7 per cent) in bladder, and 3 {6. 6 per cent) in penis. 4.The incidence of Genito-Urinary-Tract injuries associated with the other organs was as follows. In kidney injuries, Z cases were associated with intestine, 4 with liver, 3 with spleen and one each with radial nerve and iliac vessel. In bladder injuries. 2 cases were associated with pelvic bone, and one with spleen. In urethra injuries, 6 cases were associated with pelvic bone and 2 with intestine. 5. As for the multiplicity of Genito-Urinary-injuries, 4 cases were observed in scrotum, testis and urethra, and 3 each in urethra and bladder, and scrotum and testis. 6. The evacuation time from battle fields to the evacuation hospital was one hour in average by helicopter