Urethral Injury Patients in Mahasarakham Hospital

Authors

  • วิทมน ตียะไพบูลย์สิน

Abstract

              Background : Urethral Injury is a condition that usually causes complications, increase hospital cost and unnecessary length of hospital stay.

              Objective : To Study about Urethral Injury patients in Mahasarakham hospital. The data would then be analyzed for the benefit of taking better care and more efficient care for future patients.

              Methods : This study is a retrospectively descriptive research. There were 51 Urethral injury patients treated in Mahasarakham hospital during January 2011 to June 2016. Data that was collected were general information, causes, initial treatment and complications. The data was then analyzed.

              Results : All Urethral injury patients in Mahasarakham hospital were male. The most common cause for Urethral injury was Urethral catheter insertion (66.66%). Urethral injury from catheter insertion was mostly found in older than 60 years old patients (73.52%), Benign Prostatic Hyperplasia (35.29%) and initial treatment was catheter insertion (41.17%). Serious complication was found in 1 patients.

              Conclusion : Urethral injury from catheter insertion is more common than other causes. Urethral catheter insertion should be reviewed and there should be guidelines for prevention and decrease incidence of the injury in the future.

 

              Keywords :    Urethral injury , Urethral catheter insertion

References

Koraitim MM, Marzouk ME, Atta MA, Orabi SS. Risk factors and mechanism of urethral injury in pelvic fractures. Br J Urol 1996; 77:876-80.

Chapple CR, Png D. Contemporary management of urethral trauma and the post-traumatic stricture. CurrOpinUrol 1999;9:253-60.

Sevitt S. Fatal road accidents. Injuries, complications, and causes of death in 250 subjects. Br J Surg 1968; 55:481-505.

NicolaisenGS,Melamud A, Williams RD, McAninch JW. Rupture of the corpus cavernosum: surgical management. J Urol 1983; 130:917-9.

Pontes JE, Pierce Jr JM. Anterior urethral injuries: four years of experience at the Detroit General Hospital. J Urol 1978; 120:563-4.

Gomez RG, Ceballos L, Coburn M, et al. Consensus statement on bladder injuries. BJU Int 2004; 94:27-32.

Figler BD, Hoffler CE, Reisman W, et al. Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries. Injury 2012; 43:1242-9.

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.

Brandes S. Initial management of anterior and posterior urethral injuries. UrolClin North Am 2006; 33:87-95.

Brandes S. Initial management of anterior and posterior urethral injuries. UrolClin North Am 2006; 33:87-95.

Rosenstein DI, Alsikafi NF. Diagnosis and classification of urethral injuries. UrolClin North Am 2006; 33:73-85.

Cinman NM, McAninch JW, Porten SP, et al. Gunshot wounds to the lower urinary tract: a single-institution experience. J Trauma Acute Care Surg 2013; 74:725-30.

Quagliano PV, Delair SM, Malhotra AK. Diagnosis of blunt bladder injury: a prospective comparative study of computed tomography cystography and conventional retrograde cystography. J Trauma 2006; 61:410-21.

Ramchandani P, Buckler PM. Imaging of genitourinary trauma. Am J Roentgenol 2009; 192:1514-23.

Shenfeld OZ, Gnessin E. Management of urogenital trauma: state of the art. CurrOpinUrol 2011; 21:449-54.

Chapple C, Barbagli G, Jordan G, et al. Consensus statement on urethral trauma. BJU Int 2004; 93:1195-202.

Manalo M, Lapitan MC and Buckley BS: Medical interns’ knowledge and training regarding urethral catheter insertion and insertion-related urethral injury in male patients. BMC Med Educ 2011; 11: 73.

Kashefi C, Messer K, Barden R et al: Incidence and prevention of iatrogenic urethral injuries. J Urol 2008; 179: 2254.

Thomas AZ, Giri SK, Meagher D et al: Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-careteaching hospital. BJU Int 2009; 104: 1109.

Downloads

Published

2019-06-24

How to Cite

ตียะไพบูลย์สิน ว. (2019). Urethral Injury Patients in Mahasarakham Hospital. Mahasarakham Hospital Journal, 14(1), 83–89. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/197392