Apply of classification of X-ray for urethral injury in clinic
FU Bi-cheng SHU Han-zhong CHEN Fu-quan
(Department of Urology, Zhongshan Hospital, Xiamen,Fujian,361004)
Abstract Purpose:To evaluate the value of urethrography in classification and management for urethral injury. Methods:Standard of X-ray diagnosis was adopted for clinical division.Retrograde urethrography was performed for 40 cases of urethral injury. Those patients were classified into 4 types according to X-ray features and managed upon accordant principle of our different treatments. Results:Urethrography was performed for 25 cases of urethral injury ,who were classified Ⅱ～Ⅳ types and were operated. Make a contrast classification of urethrography with finding during operation, diagnostic corresponding rate was 100%. 36 cases were managed upon our different treatments, 1 case of them had been urethral stricture. The cure rate had been 97.2%. 4 cases were not managed upon our different treatments and all had been urethral stricture.Conclusions:Retrograde urethrography was regarded as non-injured and reliable diagnostic methods for clinical division in urethral injury. It is necessary that urethrography be performed for a patient with urethral injury, who was classified with difficulty depending on traumatic history, symptoms and signs.So that the patient was managed better upon accordant principle of different treatments. Complications of urethral stricture and impotence were reduced and cure rate was increased.
Key words Urethral injury Urography Treatment protoclos