Extravasation of urine
1936 Volume 25 Issue 2 Pages 117-131
Details
1936 Volume 25 Issue 2 Pages 117-131
These authors have observed statistically 19 cases of extravasation of urine during 10 years. Results are as follows:
1. There were many economically poor people.
2. 13 cases due to stricture, 3 cases caused by abscess surrounding the urethra, 2 cases due to urethral calculi and 1 case due to contusion of the perineum.
3. Excepting one case, all the cases were over 30 years of age, showed between 30-69 years no difference.
4. We found that urinary extravasation chiefly occurred at the perineum and scrotum (84-74 per cent) and then in the inguinal region (31 per cent). It seemed to us that in 16 cases the extravasated urine worked its way forward, one case extended up to the axilla. 3 cases took place backwards surrounding the anus and the buttocks.
5. The patient presents always serious condition accompanying with local serious symptoms, and almost terminated fatally by septicaemia.
6. The associated diseases which accompanied the above cases were very variable. In the majority stricture of the urethra and then old gonorrhea, abscess of the urethra, urethral calculi, fistula of the urethra and uremia are included.
7. The treatment of urinary extravasation must be an immediate operation with wide incisions and at the same time rectifying the stricture. Spinal anesthesia has given us very gratifing results.
8. The prognosis is always grave and depends in a large mesure on the duration of the extravasation and the extent of the extravasation and the condition of the patient.
The mortality was 31.6 per cent.
