요도 부분파열시 즉각적인 요도카테터 삽입의 효용성 = Efficacy of Immediate Indwelling of the Urethral Catheter in Partial Urethral Rupture

다국어 초록 (Multilingual Abstract)

Background: We reviewed our experience in managing partial urethral rupture patients with immediate indwelling of the urethral catheter. Patients and Methods: Between January 1996 and December 2002 a total of 32 consecutive male patients with partial urethral rupture were reviewed retrospectively, including a clinical and radiographic of the retrograde urethrography. The average patient age was 50.6 years (14-87 years). The mechanisms of injury were represented by the blunt perineal trauma with straddle injury in 23 patients, accidental Foley catheter removal with ballooning in 5 patients, penile fracture in 3 patients and pelvic bone fracture in one patient. Results: All patients were diagnosed partial urethral rupture with retrograde urethrography and treated with immediate indwelling of the silicon urethral catheter. That were successfully performed at 1st or 2nd trial in 30 (94%) among 32 patients. There were no significant complication and average peak flow rate was 22.0ml/sec (16-30 ml/sec). Conclusion: Immediate careful indwelling of the urethral catheter was safe and effective treatment in partial urethral rupture with intact alignment.