Current opinions on genitourinary injuries (Part 2: lower genitourinary tract)
- Author:
Tran Le Linh Phuong
- Publication Type:Journal Article
- Keywords:
Genitourinary injuries
- MeSH:
Urogenital System;
Urogenital System/injuries;
Wounds and Injuries;
Urinary Bladder;
Urethra;
Genitalia;
Diagnosis;
Therapeutics
- From:Ho Chi Minh city Medical Association
2005;10(4):214-220
- CountryViet Nam
- Language:Vietnamese
-
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
