Evaluation of urogenital injuries in patients with trauma in the Emergency Department

Abstract

Background The aim of this study was to investigate the characteristics of the patients admitted to the Emergency Department with urogenital system trauma and the factors affecting morbidity and mortality. Methods In this prospective, cross-sectional descriptive study, the demographic characteristics, trauma types, laboratory and radiologic results, hospitalization states, and the outcomes of patients with urogenital trauma were investigated. A total of 153 patients [108 (70.6%) male; 45 (29,4%) female] with major trauma were included in this study. Results Twenty-three (15.03%) had penetrating trauma and 130 (84.96%) blunt trauma. Seventy-nine presented with motor vehicle accidents, 42 with falls, 10 with gunshot wounds, and 10 with stab wounds. There were pelvic fractures in 60 patients, renal injuries in 35 patients, and bladder injuries in 4 patients. Twenty-one of the patients underwent surgery for any reason and 17 patients died. There was a significant relationship between hematuria and renal injury. Conclusion Urogenital injuries are frequently seen with other system injuries, and deaths generally occur due to the other system injuries. The timely identification and management of genitourinary injuries with an in-depth clinical evaluation are important for preventing deaths due to urogenital region trauma.