MP9-18 THE INCIDENCE OF UROTRAUMA IN OPERATION ENDURING FREEDOM: THE RISE IN EXTERNAL GENITALIA TRAUMA

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery III1 Apr 2014MP9-18 THE INCIDENCE OF UROTRAUMA IN OPERATION ENDURING FREEDOM: THE RISE IN EXTERNAL GENITALIA TRAUMA Eric Biewenga, Mary Clouser, Jennifer Phillips, Andrew MacGregor, Sean Stroup, Eric Kuncir, and Michael Galarneau Eric BiewengaEric Biewenga More articles by this author , Mary ClouserMary Clouser More articles by this author , Jennifer PhillipsJennifer Phillips More articles by this author , Andrew MacGregorAndrew MacGregor More articles by this author , Sean StroupSean Stroup More articles by this author , Eric KuncirEric Kuncir More articles by this author , and Michael GalarneauMichael Galarneau More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.506AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES During Operation Enduring Freedom (OEF) the predominance of injury has been related to blast mechanisms, particularly improvised explosive devices. Because of this, external genitalia trauma has become increasingly more common compared with historical data. METHODS The Naval Health Research Center (NHRC), Expeditionary Medical Encounter Database (EMED), which contains coded injury data from combat theater for all levels of medical care, was queried for ICD-9 codes specific to urologic injuries occurring during OEF from January 2010 to June 2012. RESULTS During the study period, 526 service members (SM) sustained 992 urologic injuries. The majority of SMs were men (523, 99%) serving in the US Army (286, 54%). 79% (417) were dismounted at the time of injury and were injured by a blast mechanism (462, 88%). Of the 992 urologic injuries, including burns, 537 (54%) were to the scrotum or testicles, and 146 (15%) were to the penis. The remaining injuries were to the kidney (43, 4%), bladder/urethra (57, 6%), ureter (4, <1%), or had a non-specific label (205, 22%). SMs with genitourinary injuries often had severe Injury Severity Scores (ISS > 16). Over 90% were unable to return to duty. CONCLUSIONS These data suggests a need for continued effort in design and implementation of protective equipment for the military SM. Further medical research is needed to understand the outcomes of these injuries and to provide DoD and VA medical providers with training to support SMs who sustain urologic injuries. This work was supported by Wounded, Ill and Injured/Psychological Health/Traumatic Brain Injury Program under Work Unit No. 60808. The views and opinions expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the U.S. Government. Approved for public release; distribution is unlimited. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e128-e129 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Eric Biewenga More articles by this author Mary Clouser More articles by this author Jennifer Phillips More articles by this author Andrew MacGregor More articles by this author Sean Stroup More articles by this author Eric Kuncir More articles by this author Michael Galarneau More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...