ASSESSMENT OF THE DIAGNOSIS AND EMERGENCY MANAGEMENT OF POSTERIOR URETHRAL INJURY IN CHO RAY HOSPITAL

Abstract

Objectives: To assess the outcomes of diagnosis and emergency management of posterior urethral injury at Cho Ray Hospital.

Methods: A retrospective descriptive study of cases diagnosed and treated for urethral trauma at Cho Ray Hospital from January 2019 to January 2024.

Results: There were 62 patients with posterior urethral trauma during the study period. The mean age was 35.17 years. Among the causes of trauma, traffic accidents accounted for 62.9%, occupational accidents for 32.3%, and household accidents for 4.8%. Clinical symptoms included lower abdominal pain in 80.6%, presence of blood at the urethral meatus in 70.5%, swelling and bruising over the pubic bone in 65%, perineal hematoma in 48.1%, urinary retention in 33.9%, and bladder rupture in 17.5%. Associated conditions with posterior urethral trauma were pelvic fractures in 100% patients, bone fractures in 32.3%, and rectal ruptures in 21%. Emergency management of posterior urethral trauma mainly involved suprapubic cystostomy in 82.3%, and suprapubic cystostomy combined with urethral realignment in 17.7%.

Conclusions: The main cause of posterior urethral trauma is traffic accidents, with the primary symptoms being lower abdominal pain and urethral bleeding. The main emergency treatment for posterior urethral trauma is suprapubic cystostomy.

Keywords: posterior urethral injury; suprapubic cystostomy; pelvic fracture