[Bladder and urethral injuries - report of experiences]

Injuries of bladder and urethra cause diagnostic and therapeutic problems to urologists and surgeons. A retrospective study of 98 patients from 1975 until 1982 with pelvic trauma and damage of the lower urinary tract is presented concerning etiology, mechanism of accident and therapeutic possibilities, as well as the analysis of 24 patients with anterior urethra damage. In all 38 cases with ruptured bladder operation was performed. 66 patients with posterior urethra damage were treated with regard to their general status. In this study conservative management with catheter or cystostomy seems to be more favourable in posterior urethra damage than primary reconstructions especially when considering the rate of urethral structure. Furthermore problems of posttraumatic difficulties with sexual potency are discussed.