Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Incidence and Clinical Features of Urethral Injuries with Pelvic Fractures in Males: A 6-Year Retrospective Cohort Study at a Single Institution in South Korea

  • Sun, Hyun Woo (Department of Intensive Care Medicine, Dong-A University Hospital) ;
  • Kim, Hohyun (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Jeon, Chang Ho (Department of Diagnostic Radiology, The Catholic University of Korea Eunpyeong St. Mary's Hospital) ;
  • Jang, Jae Hoon (Biomedical Research Institute, Pusan National University Hospital) ;
  • Kim, Gil Hwan (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Park, Chan Ik (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Park, Sung Jin (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Kim, Jae Hun (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Yeom, Seok Ran (Biomedical Research Institute, Pusan National University Hospital)
  • Received : 2020.08.04
  • Accepted : 2020.10.12
  • Published : 2021.06.30
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Abstract

Purpose: Severe pelvic fractures are associated with genitourinary injuries, but the relationship between pelvic trauma and concomitant urethral injuries has yet to be elucidated. This study evaluated the incidence, mechanism, site, and extent of urethral injuries in male patients with pelvic fractures. Methods: A retrospective cohort study was performed involving patients with urethral injuries accompanying pelvic fractures who visited Pusan National University Hospital from January 1, 2014 to December 31, 2019. Demographics, mechanisms of injury, clinical features of the urethral injuries, concomitant bladder injuries, methods of management, and the configuration of the pelvic fractures were analyzed. Results: The final study population included 24 patients. The overall incidence of urethral injury with pelvic fracture was 2.6%, with the most common mechanism of urethral injury being traffic accidents (62.5%). Complete urethral disruption (16/24, 66.7%) was more common than partial urethral injuries (8/24, 33.3%), and unstable pelvic fractures were the most common type of pelvic fracture observed (70.8%). There was no definitive relationship between the extent of urethral injury and pelvic ring stability. Conclusions: The present study provides a 6-year retrospective review characterizing the incidence, mechanism, and clinical features of urethral injury-associated pelvic fractures. This study suggests that the possibility of urethral injury must be considered, especially in unstable pelvic fracture patients, and that treatment should be chosen based on the clinical findings.

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References

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