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Lower urinary tract trauma.

G Lavallée, A Grégoire, J Laperrière

Journal of the Canadian Association of Radiologists

|March 1, 1979

Summary

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Pelvic fractures commonly cause lower urinary tract injuries, specifically bladder and urethra ruptures. Prompt diagnosis using retrograde urethrography and cystography is crucial for effective management.

Area of Science:

Urology
Trauma Surgery
Radiology

Background:

Lower urinary tract injuries are often associated with pelvic trauma.
Understanding the anatomical relationships is key to diagnosing these injuries.

Purpose of the Study:

To review lower urinary tract injuries in patients with pelvic fractures.
To identify the common causes and diagnostic methods for these injuries.

Main Methods:

Retrospective review of 28 patients with lower urinary tract injuries.
Analysis of injury types (urethra vs. bladder) and their association with pelvic fractures.
Evaluation of diagnostic imaging techniques.

Main Results:

Eighteen urethral and ten bladder injuries were identified.

Related Experiment Videos

Pelvic rami fractures were the primary cause of bladder rupture (especially extraperitoneal) and posterior/bulbo-membranous urethra rupture.

Retrograde urethrography and cystography are essential diagnostic tools.

Conclusions:

Pelvic fractures are the leading cause of lower urinary tract injuries.
Accurate anatomical knowledge and appropriate imaging are vital for diagnosis and management.
Endoscopy and catheterization play secondary roles in diagnosis.