MP04-09 POPULATION-BASED ANALYSIS OF OCCUPATION RELATED GENITOURINARY INJURIES: MALE EXTERNAL GENITALIA STILL AT RISK

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) I (MP04)1 Sep 2021MP04-09 POPULATION-BASED ANALYSIS OF OCCUPATION RELATED GENITOURINARY INJURIES: MALE EXTERNAL GENITALIA STILL AT RISK Ruth Blum, Shawn Mendonca, Sun-Ming J. Pan, Jane Kurtzman, and Steven Brandes Ruth BlumRuth Blum More articles by this author , Shawn MendoncaShawn Mendonca More articles by this author , Sun-Ming J. PanSun-Ming J. Pan More articles by this author , Jane KurtzmanJane Kurtzman More articles by this author , and Steven BrandesSteven Brandes More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001971.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Occupational injuries are a significant problem in the United States, resulting in a large economic burden in medical care, lost wages and time from work. Little is known about genitourinary (GU) trauma in the workplace. This is the 1st population-based and largest cohort report in the literature. METHODS: The National Trauma Data Bank (NTDB) database was queried for all patients with a GU (adrenal, bladder, kidney, penis, scrotum, ureter, or urethra) and ″work-related″ injury from 2007 to 2016. Outcomes were sub-stratified by external GU injuries versus intra-abdominal injuries, as well as blue collar versus white collar jobs. Chi-squared analysis was utilized to compare characteristics between each GU injury. Polynomial logistic regression to assess if characteristics favored any GU injury. Multivariate regression analysis was used to determine variables predictive of GU injuries. RESULTS: 2893 traumatic GU injuries were identified. 2748 (95%) patients were male and 140 (5.0%) female. Mean age 41.3 years (range 15-85). Mean injury severity score (ISS) 20.7 (range 1-75). Mean length of stay 12.6 days (range 1-249 days). Charleson Comorbidity Index , 0 - 2 in 1947 (67%). GU injuries: kidney (1149, 39.7%), adrenal (574, 19.8%), urethra (310, 10.7%), bladder (300, 10.4%), scrotum (270, 9.3%), penis (135, 4.7%), testes (119, 4.1%), and ureter (36, 1.2%). Associated injuries: liver 8.1%, spleen 12.2%, thorax 35%, lower extremity 11%, vertebral 32%. 202 (7.0%) patients died. All genital injuries were lacerations, grade (G) 1-3 and intra-abdominal urotrauma G 1-3, except kidney (13.6% G 4 and 3.31% G 5). Construction was associated with the highest frequency of GU injuries (N=663, 22.0%) and agriculture, forestry, and fishing (AFF) second (N=179, 6.2%). On polynomial logistic regression, AFF was associated with a higher risk of penis (OR 4.1, p=0.0009), urethra (OR 2.5, p=0.0005) and scrotum (OR 2.4, 0=0.04) injuries vs. other blue-collar professions. In the multivariate model, AFF (p≤.0001) and construction (p≤.0001) were predictive of external GU injuries. CONCLUSIONS: Construction and AFF jobs are the most dangerous for GU injury and are particularly prone to external genital injuries. A safety issue clearly persists in these professions, and thus would benefit from additional safety regulations, protective undergarments, or equipment guards. Source of Funding: none © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e70-e70 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ruth Blum More articles by this author Shawn Mendonca More articles by this author Sun-Ming J. Pan More articles by this author Jane Kurtzman More articles by this author Steven Brandes More articles by this author Expand All Advertisement Loading ...