Urethra injuries
Contents:
Description:
The injury of an urethra is a disturbance of integrity of a wall of an urethra, various degree.
Classification:
* On localization:
o damage of prostatic department;
o damage of webby department;
o damage of spongy department.
* By the form:
o closed:
+ urethra bruise;
+ an anguish (an incomplete gap) – not all layers of an urethra are damaged;
+ a complete separation – all layers of an urethra are damaged and its gleam is reported with surrounding fabrics;
+ the break of an urethra (separation) – the channel is broken off on 2 parts;
+ crush.
o Open:
+ a bruise, a gutter and nonperforating wound without damage of all layers of a wall of an urethra;
+ gutter, nonperforating and through wound with damage of all layers at an urethra wall;
+ break (separation);
+ crush.
Symptoms of Injuries of an urethra:
Injuries of an urethra belong to a heavy type of an injury as they quite often are followed by serious complications (shock, an acute ischuria, emergence of urohematomas and uric infiltration, a stricture, uric fistulas, osteomyelitis), a combination to damage of other bodies (pelvic bones, a rectum, injury of a bladder, a penis injury, etc.) and in a large number of cases demand recovery operations.
The injury of an urethra is shown by an urethremorrhagia, an acute ischuria, formation of hematomas on a crotch or in the depth of a basin. The most complete idea of the nature of injury of an urethra is given by radiological methods of a research and, in particular, an uretrografiya.
Urethra injury - the damaged segment of an urethra of a Z-shaped form
Reasons of Injuries of an urethra:
Injuries of an urethra are caused by influence of the injuring force, hurting objects and shift of pelvic bones. Injuries of an urethra occur preferential at men and share on opened and closed.
Treatment of Injuries of an urethra:
A number of factors exerts impact on the choice of a way of treatment of the patient with injury of an urethra. The main of them are the general condition of the patient, character, localization and a view of damage, existence of the combined damages and complications, qualification of the surgeon and an opportunity which it arranges.
Treatment of injuries of an urethra provides removal of urine, opening of hematomas and uric zatek, recovery of an integrity and passability of an urethra, surgical treatment of a wound at open wounds.
Pokazaniyamik to surgical treatment of injuries of an urethra serves all types of damages, excepting bruises and incomplete gaps her (anguishes) without considerable urethremorrhagia and the accruing periurethral hematomas. In the last cases apply conservative treatment: at an acute ischuria — a capillary puncture of a bladder or careful establishment of a constant catheter. In extreme cases the trocar epicystostomy is shown. At open damages of trailing department of a spongy part of an urethra it is possible to recommend sewing up it, at the closed damages of perineal department of a spongy part of an urethra, webby and prostatic its parts — recovery on a tube or imposing of primary seam.
