Assessment of Genitourinary Trauma in Southeastern Iran

Background: 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). Objectives: We aimed to assess the epidemiology of urogenital system injuries in southeastern Iran. Patients and Methods: From April ۲۰۰۹ to November ۲۰۱۱, 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. Results: From a total of ۳۴۵۰ patients, ۶۶ (۱.۹۱%) had injuries of the urogenital system; ۴۹(۷۴.۲۴%) were male and ۱۷(۲۵.۷۵%) female. The patients’ mean age was ۲۳ ± ۱۲ years (range ۲ to ۷۵ years). Of these ۶۶ patients, ۶۱ (۹۴.۲۴%) had blunt trauma, and ۵ (۷.۵۷%) had penetrating trauma. Motor vehicle accidents were the most common cause of trauma (۶۳.۶۳%). The most common injured organs were kidneys in ۴۱ (۶۲.۱۲%) and the bladder in ۹ (۱۳.۶%); ۴۷ patients (۷۱.۲۱%) had associated intra-abdominal injuries, and ۴۲ (۶۳.۶۳%) had other accompanying injuries; ۲۳(۳۴.۸۴%) patients required surgical intervention. Three patients (۴.۵۴%) died due to the severity of injuries (Injury Severity Score > ۱۲). Conclusions: In 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.

کلیدواژه ها:

Urogenital System ، Trauma ، Epidemiology ، Iran