Female Urethral Injuries Associated with Pelvic Fractures
|Nerli RB*, Sujata M Jali and Murigendra B. Hiremath|
|Department of Urology, KLES Kidney Foundation, KLE University’s JN Medical College, KLES Dr Prabhakar Kore Hospital & MRC Belgaum 590010, India|
|Corresponding Author :||Dr. Rajendra B. Nerli
Professor & Head, Department of Urology
KLES Kidney Foundation, KLE University’s JN Medical College
KLES Dr Prabhakar Kore Hospital & MRC Belgaum 590010, India
Tel: 0091 831 2473777 (1394)
Fax: 0091 831 2470732
E-mail: [email protected], [email protected]
|Received March 12, 2012; Accepted April 02, 2012; Published April 05, 2012|
|Citation: Nerli RB, Jali SM, Hiremath MB (2012) Female Urethral Injuries Associated with Pelvic Fractures. J Trauma Treatment 1:126. doi:10.4172/2167-1222.1000126|
|Copyright: © 2012 Nerli RB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Introduction: Urethral injuries associated with pelvic fractures are regarded as rare in women and thus discussed infrequently. We reviewed our series of girls/women who presented with urethral injuries.
Materials and Methods: Eleven patients (age range 8-49 years) presenting with urethral injuries and admitted to urological services were reviewed. All had associated injuries, generally more severe than seen in males with urethral injuries.
Results: All the eleven patients had severe injuries. Three of them underwent immediate repair of the urethra, whereas the remaining eight underwent repair 7-15 days later. In the follow-up period three developed stricture, one needing a Mitrofanoff’s procedure to self catheterize and the remaining two needing regular dilatation. One patient developed urinary incontinence.
Conclusions: Pelvic fractures are associated with urethral injuries, though less common among the females. A more severe injury is needed to damage the female urethra than is necessary in males.