Abstract
Background and objective: Genitourinary injuries are commonly encountered in the emergency department but may be over looked in case of multi-trauma. Determining the clinical features of genitourinary injuries will help physicians in the management of genitourinary trauma.
 Methods: The study was conducted in a tertiary hospital. Patients of all ages, admitted in the emergency department, with trauma between 2015 and 2020 were included and analyzed. The cause of genitourinary trauma, affected organs, any accompanying injury, treatments, mortality status, and laboratory tests related to mortality were obtained from the hospital records and analyzed.
 Results: During the study period, 87 patients admitted to the emergency department with genitourinary trauma were included in the study. The majority of these patients (n=79) were male. Of the patients, 9.2% died. All the patients in the mortality group had additional injuries. The most frequently injured organ was determined as the kidney (51.7%), followed by the scrotum (25.3%) and penis (8.1%). Additional injuries were observed in 81.6% of the patients. Intra-abdominal organ injuries (19.5%) were the most common accompanying injuries. White blood cell count (WBC), aspartate aminotransferase (AST), alanine aminotransferase ( ALT), blood glucose and creatinine values measured at the time of admission to the emergency department were found to be higher in the non-survivor group. The majority of the patients (81%) were discharged with conservative treatment and follow-up.
 Conclusion: It was determined that genitourinary injuries were frequently seen with additional injuries. Genitourinary injury should be evaluated carefully, especially in the presence of intra-abdominal organ injuries.
 Ibrahim Med. Coll. J. 2021; 15(2): 32-37
Highlights
Traumas constitute a general public health problem and an important cause of mortality and morbidity
The injuries most frequently occurred in the time zone between 16:00 and 23:59 (49.4%), and when the trauma type was considered, it was most frequently related to traffic accidents (48.3%)
Patients from all age groups who presented to our emergency department due to trauma between 2015 and 2020 were examined
Summary
Traumas constitute a general public health problem and an important cause of mortality and morbidity. Genitourinary injuries occur in approximately 1020% of multi-trauma cases and are more common in young men. They usually occur with other lifethreatening injuries that require immediate intervention [1]. The most common causes of genitourinary injuries are traffic accidents, falls, sexual assaults, gunshot wounds, and penetrating stab wounds. Pelvic fractures and abdominal organ damage are the most common injuries accompanied by genitourinary injuries. The most frequently injured organ in genitourinary injuries is the kidney [2]. Genitourinary injuries are commonly encountered in the emergency department but may be over looked in case of multi-trauma. Determining the clinical features of genitourinary injuries will help physicians in the management of genitourinary trauma
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