Diagnosis and treatment of emergency urethral trauma – own material study
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Oddział Urologii, Szpital Powiatowy w Kozienicach, Polska
Wojskowy Instytut Medyczny – Państwowy Instytut Badawczy, Klinika Urologii Ogólnej, Czynnościowej i Onkologicznej, Polska
Submission date: 2022-08-19
Acceptance date: 2022-08-24
Publication date: 2022-12-30
Corresponding author
Łukasz Michalczyk   

Oddział Urologii, Szpital Powiatowy w Kozienicach, Sikorskiego 10, 26-900, Kozienice, Polska
LW 2022;100(4):247-252
Introduction and objective: Urethral injuries are a rare injury accounting for less than 1% of all injuries. While most urethral injuries are iatrogenic, urethral injuries associated with multi-organ trauma are also common. Material and methods: This is a retrospective study of 18 patients with a diagnosis of urethral injury. The following factors were analyzed: the mechanism of the injury and the presence of multi-organ trauma, the section of the urethra in which the injury occurred, the extent of the urethral injury and the method of its supply, patient’s sex and age. The method of diagnosing urethral trauma was retrograde urethrography or urethrocystoscopy. Results: In the study group, urethral trauma was found in people aged 20 to 62, and the mean age was 41.7 years. The urethra was injured in ten patients with multi-organ trauma, the mortality rate in this group was 10%. In seven cases the posterior urethra was damaged, in two injured was the anterior urethra and in two cases the urethra injury concerned women. In 17 cases partial urethral trauma was found and in one – a complete urethral rupture. In 15 cases, the urethra injury was treated with a bladder catheter, and in two cases a suprapubic cystostomy was performed. In one case, the urethra was sutured with single absorbable sutures during a multidisciplinary repair surgery for multiple organ trauma. Conclusions: Urethral injury is a serious but rare injury. It may occur especially in patients involved in traffic accidents and those undergoing urethral instrumentation. Due to anatomical conditions, more than 90% of urethral injuries affect men. Early diagnosis and treatment can reduce the risk of complications such as urethral stricture, erectile dysfunction or urinary incontinence.
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