Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003

BACKGROUND AND OBJECTIVE: Trauma is a dynamic process and involves different systems of body according to its severity. Genitourinary system injury is seen in trauma process. This study was done to evaluate the major trauma of genitourinary system with special attention to multiple trauma patients.M...

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Autores principales:	H Shafi, A Ali Ramaji, B Farhangi, M Bahrami, AK Kasaeian, YR Yousef Nia Pasha, A Akbar Zadeh Pasha
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2006
Materias:	multiple trauma major trauma genitourinary system Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e4a60896d2f64232ad844dba9c222df4
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spelling	oai:doaj.org-article:e4a60896d2f64232ad844dba9c222df42021-11-10T09:12:42ZStudy of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-20031561-41072251-7170https://doaj.org/article/e4a60896d2f64232ad844dba9c222df42006-04-01T00:00:00Zhttp://jbums.org/article-1-2562-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Trauma is a dynamic process and involves different systems of body according to its severity. Genitourinary system injury is seen in trauma process. This study was done to evaluate the major trauma of genitourinary system with special attention to multiple trauma patients.METHODS: This descriptive and cross-sectional study was performed on records of 293 patients with genitourinary system trauma who referred to emergency center of Shahid Beheshti hospital from 1998-2004. One hundred and two patients suffering from major trauma of genitourinary system who operated were included in this study. Then necessary information such as sex, age, pattern of trauma, type and mechanism of trauma, involved organ, clinical findings, associated lesions, surgical procedure, laboratory findings, duration of hospitalization and year of admission were obtained and studied.FINDINGS: From 102 patients, 92.2% were male and 7.8% were female with mean age of 29.4±13 years. 33.3% of patients had multiple trauma and 98% of them had blunt trauma. Mean duration of hospitalization was 6.2±4.4 days. From 13 patients (12.7%) with major kidney trauma, 5 cases had shattered kidney that went under nephrectomy. Only 1 patient (1%) had ureter trauma with final diagnosis of left middle ureter transection. Five patients (4.9%) had intraperitoneal rupture of bladder in which 3 cases had rupture in dome area. Five patients (49%) had urethral injury with clinical findings such as blood at meatus and inability to void. In 50 patients (49%) with penile trauma, 49 patients had penis Fx and 1 case had total amputation of penis and left testis. Fifteen patients (16.7%) had testis trauma in which clinical findings were pain, swelling and ecchymosis. Eleven patients (10.8%) had major trauma of scrotum.CONCLUSION: According to the results of this study, the most common organ involved in major trauma of genitourinary system was penis. Accurate history and complete physical examination should be considered in patients with multiple trauma.H ShafiA Ali RamajiB FarhangiM BahramiAK KasaeianYR Yousef Nia PashaA Akbar Zadeh PashaBabol University of Medical Sciencesarticlemultiple traumamajor traumagenitourinary systemMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 8, Iss 2, Pp 70-76 (2006)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	multiple trauma major trauma genitourinary system Medicine R Medicine (General) R5-920
spellingShingle	multiple trauma major trauma genitourinary system Medicine R Medicine (General) R5-920 H Shafi A Ali Ramaji B Farhangi M Bahrami AK Kasaeian YR Yousef Nia Pasha A Akbar Zadeh Pasha Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003
description	BACKGROUND AND OBJECTIVE: Trauma is a dynamic process and involves different systems of body according to its severity. Genitourinary system injury is seen in trauma process. This study was done to evaluate the major trauma of genitourinary system with special attention to multiple trauma patients.METHODS: This descriptive and cross-sectional study was performed on records of 293 patients with genitourinary system trauma who referred to emergency center of Shahid Beheshti hospital from 1998-2004. One hundred and two patients suffering from major trauma of genitourinary system who operated were included in this study. Then necessary information such as sex, age, pattern of trauma, type and mechanism of trauma, involved organ, clinical findings, associated lesions, surgical procedure, laboratory findings, duration of hospitalization and year of admission were obtained and studied.FINDINGS: From 102 patients, 92.2% were male and 7.8% were female with mean age of 29.4±13 years. 33.3% of patients had multiple trauma and 98% of them had blunt trauma. Mean duration of hospitalization was 6.2±4.4 days. From 13 patients (12.7%) with major kidney trauma, 5 cases had shattered kidney that went under nephrectomy. Only 1 patient (1%) had ureter trauma with final diagnosis of left middle ureter transection. Five patients (4.9%) had intraperitoneal rupture of bladder in which 3 cases had rupture in dome area. Five patients (49%) had urethral injury with clinical findings such as blood at meatus and inability to void. In 50 patients (49%) with penile trauma, 49 patients had penis Fx and 1 case had total amputation of penis and left testis. Fifteen patients (16.7%) had testis trauma in which clinical findings were pain, swelling and ecchymosis. Eleven patients (10.8%) had major trauma of scrotum.CONCLUSION: According to the results of this study, the most common organ involved in major trauma of genitourinary system was penis. Accurate history and complete physical examination should be considered in patients with multiple trauma.
format	article
author	H Shafi A Ali Ramaji B Farhangi M Bahrami AK Kasaeian YR Yousef Nia Pasha A Akbar Zadeh Pasha
author_facet	H Shafi A Ali Ramaji B Farhangi M Bahrami AK Kasaeian YR Yousef Nia Pasha A Akbar Zadeh Pasha
author_sort	H Shafi
title	Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003
title_short	Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003
title_full	Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003
title_fullStr	Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003
title_full_unstemmed	Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003
title_sort	study of major trauma of genitourinary system in patients referred to emergency center of babol shahid beheshti hospital, 1998-2003
publisher	Babol University of Medical Sciences
publishDate	2006
url	https://doaj.org/article/e4a60896d2f64232ad844dba9c222df4
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Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital, 1998-2003

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