Abstract
BackgroundTo survey genitourinary (GU) organ injury following general trauma, we performed an epidemiologic study of urogenital injuries in trauma patients referred to our hospital (a teaching hospital affiliated with the Zahedan University of Medical Sciences).ObjectivesWe aimed to assess the epidemiology of urogenital system injuries in southeastern Iran.Patients and MethodsFrom April 2009 to November 2011, all patients with GU injuries referred to our hospital were studied. The data including age, sex, type of injury, mechanism of trauma, and prognosis of patients was collected and analyzed.ResultsFrom a total of 3450 patients, 66 (1.91%) had injuries of the urogenital system; 49(74.24%) were male and 17(25.75%) female. The patients’ mean age was 23 ± 12 years (range 2 to 75 years). Of these 66 patients, 61 (94.24%) had blunt trauma, and 5 (7.57%) had penetrating trauma. Motor vehicle accidents were the most common cause of trauma (63.63%). The most common injured organs were kidneys in 41 (62.12%) and the bladder in 9 (13.6%); 47 patients (71.21%) had associated intra-abdominal injuries, and 42 (63.63%) had other accompanying injuries; 23(34.84%) patients required surgical intervention. Three patients (4.54%) died due to the severity of injuries (Injury Severity Score > 12).ConclusionsIn our assessment, blunt trauma including road traffic accidents were the main cause of urogenital injuries. Most patients with urogenital trauma had multiple injuries, and required a multidisciplinary approach for management.
Highlights
To survey genitourinary (GU) organ injury following general trauma, we performed an epidemiologic study of urogenital injuries in trauma patients referred to our hospital
In this study we assessed the epidemiology of urogenital trauma in southeastern Iran
Trauma is a main cause of mortality in the ages between 1 and 44 years in the United States and some believe that it is the main cause of mortality for this age group worldwide
Summary
To survey genitourinary (GU) organ injury following general trauma, we performed an epidemiologic study of urogenital injuries in trauma patients referred to our hospital (a teaching hospital affiliated with the Zahedan University of Medical Sciences). The patients’ mean age was 23 ± 12 years (range 2 to 75 years) Of these 66 patients, 61 (94.24%) had blunt trauma, and 5 (7.57%) had penetrating trauma. Conclusions: In our assessment, blunt trauma including road traffic accidents were the main cause of urogenital injuries. Disabilities caused by trauma has become one of the most serious public health problems in developed countries as well as countries with low total annual income [1].There is not enough data regarding the epidemiology of genitourinary trauma in different populations. Most of the available data pertain to genitourinary injuries among soldiers not civilians [7, 8]
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