Analysis of Lower Urinary Tract Injury Associated with Pelvic Fracture / 대한비뇨기과학회지
Korean Journal of Urology
;
: 603-608, 2001.
Article
in Korean
| WPRIM
| ID: wpr-46949
ABSTRACT
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 ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pelvic Bones
/
Urethral Stricture
/
Urinary Tract
/
Urinary Bladder
/
Cystostomy
/
Accidents, Traffic
/
Injury Severity Score
/
Retrospective Studies
/
Mortality
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2001
Type:
Article
Similar
MEDLINE
...
LILACS
LIS