An Audit of Genitourinary Trauma at Institute of Kidney Diseases Peshawar. | [Journal of Medical Science • 2018]

Author(s):

1. Liaqat Ali: Institute of Kidney Diseases (IKD), Hayatabad Medical Complex, Peshawar, Pakistan

2. Faiza Hayat: Institute of Kidney Diseases (IKD), Hayatabad Medical Complex, Peshawar, Pakistan

3. Nasir Orakzai: Institute of Kidney Diseases (IKD), Hayatabad Medical Complex, Peshawar, Pakistan

Abstract:

Objectives: To study the audit of clinical presentation, radiological diagnosis and outcome of Genito-urinary trauma. Material & Methods: It is a descriptive study, conducted in department of Urology at Institute of Kidney Diseases, Hayatabad Medical Complex, Peshawar, Pakistan from January 2009 to May 2017. Total numbers of 183 patients with genitourinary injuries in due course of time was include in the study Genitourinary trauma was diagnosed on history, examination, high index of suspicion, labs and imaging, per-operative findings and even delayed presentation of uro logical trauma. Data was collected on structured proforma and was analyzed on SPSS. Results: The median age was 32.5 years (range 2-81years). Total number of male patients were 115 (62.8%) while 68 (37%) were female. Total number of 91 (49.7%) patients presented with renal trauma, 9 (5%) patients with ureteric injuries, 29 (15.8%) patients with bladder injuries, 13 (7%) patients with genital trauma and 41 (33.8%) patients presented with urethral trauma. Regarding the etiology of trauma, blunt trauma to abdomen was most frequent cause of renal injuries in 62 patients while 29 patients had penetrating renal injuries. Associated injuries were found in 35 patients; the majority being intestinal and solid organ injuries. The ureteric injuries were mostly iatrogenic 7 out of 9 patients. Regarding bladder injuries in 29 patients, 8 patients suffered blunt trauma, 4 patients had penetrating injuries while 17 patients had iatrogenic bladder injury. We also recorded genital injuries in 13 patients amongst them 7 patients had sexual excess trauma in form of penile fractures, 3 patients had penile amputations while 3 patients had penile skin avulsion injuries. The main cause of urethral trauma in our 41 patients was iatrogenic i.e. in 29 patients. Over all Mortality was recorded in 9 (4.9%) patients out of total 183 patients. Conclusion: Urogenital organs are frequently involved in trauma setting. Renal, Urethral and bladder injuries predominate in overall urological trauma in our setup.

Page(s): 58-62

DOI: DOI not available

Published: Journal: Journal of Medical Science, Volume: 26, Issue: 1, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] In, 2002.,Vol.IV. Chapt 105. Saunders: Elsevier Science 3707 -

[2] BainIM,KirbyRM,CookAL,OakleyPA,TempletonJ, 1996.Role of the general surgeon in a British trauma centre,Br J Surg 83 1248 -51

[3] 1992."Accidents” The Health of the Nation, 102 -15

[4] HammerCC,SantucciRA, 2003.Effect of institutional policy of non-operative treatment of grade I to VI renal injury,J Urol 169 1751 -53

[5] Härkki-SirénP,SjöbergJ,TiitinenA, 1998.Urinary tract injuries after hysterectomy,Obstet Gynecol. Jul 92 113 -18

[6] ElliottSP,McAninchJW, 2003.Ureteral injuries from external violence: the 25-year,J Urol. Oct 170 1213 -16

[7] BeardD,HenryJM,Grant PT, 2000.National audit of the management of injured patients in 20 Scottish hospitals,Health Bulletin 58 118 -26

[8] ., 93 937 -54

[9] GomezRG,CeballosL,CoburnM,CorriereJN,DixonCM,LobelB,McAninchJ, 2004.Consensus statement on bladder injuries,BJU Int 94 27 -32

[10] J Urol, 2005., 174 968 -69

[11] Allen F. Morey , Michael J.,Metro , Kenneth J.,Carney , Kennon S. Miller and Jack W.,McAninch, 2004.Consensus on genitourinary trauma: external genitalia,BJU Int 94 507 -15

[12] 2003.Annital Chir conservative versus non conservative treatment of renal blunt injury- article in Italian Ungania S1, 74 445 -52

[13] 1996.Management of major blunt renal laceration:surgical and non operative approach,European urology 30 335 -39

[14] El KhaderK,MhidiaA,ZiadeJ,PatardJJ,GuilleF,LobelB, 1998.Conservative treatmentof stage 3 kidney injury,Act a Urology Belgium 66 25 -28

[15] Richard A Santucci, Feb 2017.,Bradely Fields, Schwartz -

[16] PanosSakellariou,AnthanasiosG,ZannisVoulgaris, 2002.,Management of ureteric injury during gynecological operation-10years experience 101 179 -84

[17] StevenBrandes, .Jack Mc Anninch. Diagnosis and management of ureteric injuries. An evidence based analysis,2004 BJUI. -

[18] Z.F.Dobrowolski,W.Weglarz,P.Jakubila,W.Lipzynski,B.Dobrowolska, 2002.Treatment of posterior and anterior urethral trauma, -

[19] Daniela E Andrich, 2005.Treatment of pelvic fracture related urethral trauma. A survey of current practice in UK., -

[20] 2003.Management of trauma to male external genitalia-The usefulness of American Association for Surgery of trauma organ injury scales, 170 2311 -15

Citations

Downloads

Views