POSTERIOR URETHRAL INJURIES
CEMALETTİN ERTEKİN1, MAHMUT MÜSLÜMANOĞLU2, SAMAN BELGERDEN1, RECEP GÜLLÜOĞLU1, İHSAN KARAMAN3
1İstanbul Üniversitesi Hekimlikte Acil Vakalar ABD, İSTANBUL
2İstanbul Üniversitesi Genel Cerrahi ABD, İSTANBUL
3İstanbul Üniversitesi Üroloji ABD, İSTANBUL
Abstract
172 cases with pelvic fractures due to blunt trauma were treated between 1988-1991 in The Emergency Surgery Department of the Istanbul Faculty of Medicine. Injury of the posterior urethra was diagnosed in 27 (15%) of these cases. All patients were males and mean age was 41. Pubic ramus (71%) urethrography was performed due to the following findings: Urethral hemorrhage (20 cases) failure in urinary catheterization (3 cases), passage of blood around the urethral catheter (2 cases), high and rigid prostate (2 cases), partial rupture in 25 patients (92%) and total rupture in 2 patients. Accompanying lesions were bladder rupture (6 patients), spleen rupture (4 cases), kidney rupture (1 case) and retroperitoneal hematoma (6 cases). Cystostomy was used in 25 cases and primary repair was performed in 2 cases.