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
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 fractur...
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Korean Society of Traumatology
2021-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0034.pdf |
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| author | Hyun Woo Sun Hohyun Kim Chang Ho Jeon Jae Hoon Jang Gil Hwan Kim Chan Ik Park Sung Jin Park Jae Hun Kim Seok Ran Yeom |
| author_facet | Hyun Woo Sun Hohyun Kim Chang Ho Jeon Jae Hoon Jang Gil Hwan Kim Chan Ik Park Sung Jin Park Jae Hun Kim Seok Ran Yeom |
| author_sort | Hyun Woo Sun |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3b744294e28a46eba4459213e736c706 |
| institution | OA Journals |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-3b744294e28a46eba4459213e736c7062025-08-20T01:56:53ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832021-06-013429810410.20408/jti.2020.00341065Incidence and Clinical Features of Urethral Injuries with Pelvic Fractures in Males: A 6-Year Retrospective Cohort Study at a Single Institution in South KoreaHyun Woo Sun0Hohyun Kim1Chang Ho Jeon2Jae Hoon Jang3Gil Hwan Kim4Chan Ik Park5Sung Jin Park6Jae Hun Kim7Seok Ran Yeom8 Department of Intensive Care Medicine, Dong-A University Hospital, Busan, Korea Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Diagnostic Radiology, The Catholic University of Korea Eunpyeong St. Mary's Hospital, Seoul, Korea Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Biomedical Research Institute, Pusan National University Hospital, Busan, KoreaPurpose 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.http://www.jtraumainj.org/upload/pdf/jti-2020-0034.pdfurethraincidencepelvic bonesmultiple trauma |
| spellingShingle | Hyun Woo Sun Hohyun Kim Chang Ho Jeon Jae Hoon Jang Gil Hwan Kim Chan Ik Park Sung Jin Park Jae Hun Kim Seok Ran Yeom 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 Journal of Trauma and Injury urethra incidence pelvic bones multiple trauma |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | urethra incidence pelvic bones multiple trauma |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0034.pdf |
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