Current opinions on genitourinary injuries (Part 2: lower genitourinary tract)

ABSTRACT

Current opinions on diagnosis and management of lower genitourinary injury in bladder, urethra and outside genital organ. Bladder trauma included bladder tear and bladder break (break in and outside of peritoneum). Retrograde urethrography with contrast media was a standard method in diagnosis of bladder break. Treatment bladder sutured operation was absolute indicated for break in peritoneum; break outside of peritoneum could be treated by putting a large size urethra tube. In urethra injury 37-93% cases of posterior urethral break and at least 75% cases of anterior urethral break experienced bleeding symptoms. Diagnosis method: retrograde urethrography with contrast media. Treatment percutaneous cystostomy and urethral imaging test performed just before intervention. Outside genital organ’s trauma accounted for 1/3-2/3 of urogenital organ trauma. The injury was common in male, rarely in vulva of female. In cases of skin loss of penis or testicle, they were conservative treated. A partial or total urethra break needed to suture one-stage on catheter to make barrel and urine intubation