title: [Urethral injury with unusual clinical course: a case report].
abstract: A 20-year-old men fell from a ladder in 1995, striking his perineum strongly, and macroscopic hematuria with painful urination lasted for several days. Subsequently, swelling of the perineum on urination continued to occur. However, he did not seek medical treatment until July 1997, when he consulted our medical institution. A diverticulum-like change was found in the bulbous urethra on urethrocystography, and a tear in the same position on urethroscopy. On September 22, 1997, surgery was performed after constructing a cystostomy, the tear was located using a urethroscope, and closed through a perineal approach. At 14 days after surgery, there was extra-urethral leakage of contrast media on voiding cystourethrography, and at 28 days after surgery, the findings showed improvement. Since then, he has been free of the preoperative symptoms.
authors.affiliation: Department of Urology, Osaka City University Medical School.
authors.forename: M
authors.initials: M
authors.lastname: Mitsuhashi
authors.forename: T
authors.initials: T
authors.lastname: Nakatani
authors.forename: H
authors.initials: H
authors.lastname: Kawashima
authors.forename: Y S
authors.initials: YS
authors.lastname: Han
authors.forename: M
authors.initials: M
authors.lastname: Harima
authors.forename: H
authors.initials: H
authors.lastname: Kobayakawa
authors.forename: K
authors.initials: K
authors.lastname: Yamamoto
authors.forename: T
authors.initials: T
authors.lastname: Kishimoto
mesh_terms: D000058:Accidental Falls; D000328:Adult; D003559:Cystostomy; D004240:Diverticulum / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries*; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications*