DOI QR코드

DOI QR Code

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

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.

Keywords

References

  1. Balogh Z, King KL, Mackay P, McDougall D, Mackenzie S, Evans JA, et al. The epidemiology of pelvic ring fractures: a population-based study. J Trauma 2007;63:1066-73; discussion 1072-3. https://doi.org/10.1097/TA.0b013e3181589fa4
  2. Durkin A, Sagi HC, Durham R, Flint L. Contemporary management of pelvic fractures. Am J Surg 2006;192:211-23. https://doi.org/10.1016/j.amjsurg.2006.05.001
  3. Grotz MR, Allami MK, Harwood P, Pape HC, Krettek C, Giannoudis PV. Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury 2005;36:1-13. https://doi.org/10.1016/j.injury.2004.05.029
  4. Koraitim MM. Pelvic fracture urethral injuries: the unresolved controversy. J Urol 1999;161:1433-41. https://doi.org/10.1016/S0022-5347(05)68918-5
  5. Webster GD, Mathes GL, Selli C. Prostatomembranous urethral injuries: a review of the literature and a rational approach to their management. J Urol 1983;130:898-902. https://doi.org/10.1016/S0022-5347(17)51561-X
  6. Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 2002;195:1-10. https://doi.org/10.1016/S1072-7515(02)01197-3
  7. Basta AM, Blackmore CC, Wessells H. Predicting urethral injury from pelvic fracture patterns in male patients with blunt trauma. J Urol 2007;177:571-5.
  8. Dixon AN, Webb JC, Wenzel JL, Wolf JS Jr, Osterberg EC. Current management of pelvic fracture urethral injuries: to realign or not? Transl Androl Urol 2018;7:593-602. https://doi.org/10.21037/tau.2018.01.14
  9. Martinez-Pineiro L, Djakovic N, Plas E, Mor Y, Santucci RA, Serafetinidis E, et al. EAU guidelines on urethral trauma. Eur Urol 2010;57:791-803. https://doi.org/10.1016/j.eururo.2010.01.013
  10. Burgess AR, Eastridge BJ, Young JW, Ellison TS, Ellison PS Jr, Poka A, et al. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma 1990;30:848-56. https://doi.org/10.1097/00005373-199007000-00015
  11. Alton TB, Gee AO. Classifications in brief: young and burgess classification of pelvic ring injuries. Clin Orthop Relat Res 2014;472:2338-42. https://doi.org/10.1007/s11999-014-3693-8
  12. Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br 1988;70:1-12. https://doi.org/10.1302/0301-620X.70B1.3276697
  13. Battaloglu E, Figuero M, Moran C, Lecky F, Porter K. Urethral injury in major trauma. Injury 2019;50:1053-7. https://doi.org/10.1016/j.injury.2019.02.016
  14. Barratt RC, Bernard J, Mundy AR, Greenwell TJ. Pelvic fracture urethral injury in males-mechanisms of injury, management options and outcomes. Transl Androl Urol 2018;7(Suppl 1):S29-62. https://doi.org/10.21037/tau.2017.12.35
  15. Luckhoff C, Mitra B, Cameron PA, Fitzgerald M, Royce P. The diagnosis of acute urethral trauma. Injury 2011;42:913-6. https://doi.org/10.1016/j.injury.2010.08.007
  16. Sandler CM, Harris JH Jr, Corriere JN Jr, Toombs BD. Posterior urethral injuries after pelvic fracture. AJR Am J Roentgenol 1981;137:1233-7. https://doi.org/10.2214/ajr.137.6.1233
  17. Palmer JK, Benson GS, Corriere JN Jr. Diagnosis and initial management of urological injuries associated with 200 consecutive pelvic fractures. J Urol 1983;130:712-4. https://doi.org/10.1016/S0022-5347(17)51420-2
  18. Bjurlin MA, Fantus RJ, Mellett MM, Goble SM. Genitourinary injuries in pelvic fracture morbidity and mortality using the National Trauma Data Bank. J Trauma 2009;67:1033-9. https://doi.org/10.1097/TA.0b013e3181bb8d6c
  19. Eidelman E, Stormont I, Churukanti G, Shreck E, Belay R, Capodice S, et al. Injury severity score associated with concurrent bladder injury in patients with blunt urethral injury. World J Urol 2019;37:983-8. https://doi.org/10.1007/s00345-018-2473-6
  20. Service CA, Moses RA, Majercik SD, Hotaling JM, Keihani S, Rothberg D, et al. Urethral trauma following pelvic fracture from horseback saddle horn injury versus other mechanisms of pelvic trauma. Urology 2019;124:260-3. https://doi.org/10.1016/j.urology.2018.11.003
  21. Aihara R, Blansfield JS, Millham FH, LaMorte WW, Hirsch EF. Fracture locations influence the likelihood of rectal and lower urinary tract injuries in patients sustaining pelvic fractures. J Trauma 2002;52:205-8; discussion 208-9.