Evaluation of urogenital injuries in patients with trauma at the emergency department

Background: The aim of this study is to investigate the characteristics of the patients admitted to the emergency department with the urogenital system trauma and the factors effecting mortality and mortality.
Methods: In this prospective, cross-sectional descriptive study, the demographic characteristics, trauma types, laboratory and radiologic results, hospitalization states and the outcome of the patients with urogenital trauma were investigated.
Results: A total of 153 patients with major trauma were included in this study. 108 (%70.6) of them were male. 23 (%15.03) of them were penetrating trauma and 130 (%84.96) of them were blunt trauma. 79 of them were presented with motor vehicle accidents, 42 of them were falls, 10 of them were gunshot wounds, 10 of them were stab wounds. There were pelvic fractures at 60 patients, renal injuries at 35 patients, bladder injuries at 4 patients. 21 of the patients underwent surgery for any reason and 17 patients dead. There was a significant relationship between hematuria and renal injury.
Conclusion: The urogenital injuries are frequently seen with other system injuries and deaths generally occur due to other system injuries. The timely identification and management of genitourinary injuries with a deep clinical evaluation is important for preventing deaths due to urogenital region trauma.

Acil servise baþvuran travmalarda ürogenital yaralanmalarýn deðerlendirilmesi

Amaç: Bu çalýþmada, ürogenital bölgeyle iliþkili travma nedeniyle acil servise baþvuran hastalarýn özellikleri, morbidite ve mortalite ile iliþkili durumlarýn belirlenmesi amaçlanmýþtýr.
Gereç ve Yöntem: Bu prospektif, kesitsel tanýmlayýcý çalýþmada, ürogenital bölgeyle iliþkili travmasý olan hastalarýn demografik özellikleri, travma þekilleri, tetkik sonuçlarý, yatýþ iþlemleri ve sonuçlarý deðerlendirildi.
Bulgular: Çalýþmaya toplamda 153 majör travmasý olan hasta alýndý. Bunlarýn 108 (%70.6)' i erkek, 45 (%29.4)' i bayandýr. 23 (%15.03)' ü penetran, 130 (%84.96)' u künt travmadýr. 79' u trafik kazasý, 42' si yüksekten düþme, 12' si ateþli silah yaralanmasý, 10' u delici-kesici alet yaralanmasýdýr. Hastalarýn 60' ýnda pelvis kýrýðý, 35' inde böbrek, 4' ünde mesane yaralanmasý saptanmýþtýr. Hastalarýn 21' i herhangi bir nedenle opere edilmiþtir, toplamda 17 hastada ölüm gerçekleþmiþtir. Ölüm gerçekleþen hastalarýn hiçbirinde ölüm nedeni ürogenital yaralanma deðildir. Ýdrar tetkiki yapýlabilen iki mesane yaralanmasýnda da gross hematüri görülmüþtür, ayrýca hematüri varlýðý ile böbrek yaralanmasý arasýnda anlamlý iliþki bulunmuþtur.
Sonuç: Ürogenital yaralanmalar sýklýkla diðer organ yaralanmalarýyla birliktedir ve kaybedilen hastalarýn ölüm nedenleri genellikle diðer organ yaralanmalarýna baðlýdýr. Ayrýntýlý klinik deðerlendirme ile zamanýnda taný konulup müdahale edilmesi ürogenital bölge yaralanmalarýna baðlý ölüm olaylarýný önlemede önemlidir. Yaralanma mekanizmasýný düþünülerek fizik muayene yapýlmalý ve tanýsal görüntüleme ve laboratuar tetkikleri uygulanmalýdýr.