Characteristics of Traumatic Urogenital Injuries in Emergency Department; a 10-Year Cross-sectional Study

Introduction: urogenital system injuries (ugis) are seen in 10% of adult cases with multiple trauma. although ugis are rarely life threatening, they can cause major long-term morbidities. this study aimed to evaluate the characteristics of traumatic ugis in patients who were referred to emergency department following multiple traumas. methods: this retrospective cross-sectional study was conducted on multiple trauma patients who were presented to emergency department during a 10-year period (2008-2017). all patients with kidney, ureter, bladder, urethra, or external genitalia injuries were studied. the patients’ data were extracted from their clinical profiles. results: out of the 13598 admitted patients in our trauma center, ugis were seen in 267 (1.9%) cases. the mean age of patients with ugis was 27.3 ± 6.1 years (74.15% male). the highest incidence of ugi was seen in those aged between 21 and 30 years (39.7%) and motorcycle accidents (49%) was the most frequent cause of trauma. 221 patients had an unstable situation and were emergently transferred to operation room (13.57% with traumatic kidney injury). the most common injured sites of urogenital system were kidney with 155 (58%) cases, followed by external genitalia with 91 (34.1%) cases. 77.5% of cases were managed conservatively and the rest (22.5%) underwent surgical procedures. conclusion: ugis comprise a low percentage (2%) of traumatic injuries, which are mostly caused by blunt trauma due to road traffic accidents. kidney is the most common injured organ and ugis mostly happen in young ages.