Urethral injuries in the Civil War Journal Article


Authors: Herr, H. W.; McAninch, J. W.
Article Title: Urethral injuries in the Civil War
Abstract: Purpose: We compiled all cases of urethral injury received in battle during the Civil War to detail their management and determine the outcome of treatment. Materials and Methods: Surgeon medical reports of individual cases of urethral injury listed in the Medical and Surgical History of the Civil War, and pension records available in the National Archives and Records Administration were reviewed. Results: A total of 105 cases of urethral injury from gunshot wounds, comprising 7% of all urogenital casualties, were reported during the Civil War between 1861 and 1865. Of them 22 (21%) were fatal and 83 patients (79%) cases survived. Débridement and catheter drainage of urinary extravasation or perineal urethrotomy was initial treatment. The majority of urethral injuries were complicated by troublesome strictures, fistulas, urinary incontinence and erectile impotence. Only 19 patients (23%) recovered fully. Conclusions: Civil War urethral injuries had devastating long-term consequences. Copyright © 2005 by American Urological Association.
Keywords: treatment outcome; debridement; review; fistula; war; cause of death; urine incontinence; urology; history, 19th century; sepsis; urogenital system; erectile dysfunction; battle injury; gunshot injury; wounds, gunshot; impotence; urethra; history of medicine; american civil war; urethra stricture; wounds and injuries; bladder catheterization; urethrotomy; urethra injury
Journal Title: Journal of Urology
Volume: 173
Issue: 4
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 2005-04-01
Start Page: 1090
End Page: 1093
Language: English
DOI: 10.1097/01.ju.0000155504.88987.14
PUBMED: 15758707
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 4" - "Export Date: 24 October 2012" - "CODEN: JOURA" - "Source: Scopus"
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  1. Harry W Herr
    553 Herr