Klinikte tedavi edilen ürogenital travma hastalarýnýn deðerlendirilmesi

AMAÇ: Tüm ölümlerin yaklaþýk %14’ünden sorumlu olan travmalarýn %10’u genitoüriner sistemi etkilemektedir. Bu çalýþmada, kliniðimizde genitoüriner travma nedeni ile yatýrýlarak takip edilen hastalar geriye dönük olarak deðerlendirildi. GEREÇ VE YÖNTEM: 2003-2007 tarihlerinde kliniðimize yatýrýlarak takip edilen genitoüriner travmalý olgular geriye dönük olarak incelendi. Toplam 108 hasta (92 erkek, 16 kadýn; ort. yaþ 35,8±17,5; daðýlým 6-87) yaþ, cinsiyet, travmanýn meydana geliþ tipi, etkilenen organ türü, travma evrelemesi, eþlik eden diðer organ yaralanmalarý, radyolojik görüntüleme yöntemleri ve uygulanan tedavi yöntemleri deðerlendirildi. BULGULAR: Olgularýn 68’inin (%63) künt, 25’inin (%24) penetran, 12’sinin (%11) iyatrojenik travmaya ve 3’ünün (%3) spontan organ yaralanmasýna maruz kaldýðý saptandý; 34’ünde (%32) böbrek, 11’inde (%10) üreter, 18’inde (%17) mesane, 27’sinde (%25) üretra, 6’sýnda (%6) testis ve 12’sinde (%10) penis travmasý meydana geldiði görüldü. Böbrek travmalý olgular incelendiðinde, 17’sinde (%50) evre 3, 11’inde (%32) evre 4, 6’sýnda (%18) evre 5 böbrek hasarý saptandý; bu olgularýn 6’sý (%18) ameliyat edildi. SONUÇ: Travmanýn oluþ biçimi ve derecesi açýsýndan sonuçlarýmýz literatür bilgisi ile paralellik göstermektedir. Ülkemizde ürogenital travma oranlarýyla ilgili yeterli bilgi bulunmamasý nedeniyle, referans merkezlerinin travma kayýt bilgilerini derleyip yayýnlamasýnda yarar olduðu düþünülmüþtür.

Evaluation of patients with urogenital trauma managed in a urology clinic

BACKGROUND: Ten percent of all traumas, responsible for 14% of all deaths, involve the urogenital system. We retrospectively evaluated the patients with genitourinary trauma who underwent any kind of management modality in our clinics. METHODS: We retrospectively evaluated 108 patients (92 males, 16 females; mean age 35.8±17.5 years; range 6 to 87 years) with urogenital trauma between 2003 and 2007 according to age, gender, type of trauma, affected organ, grade of trauma, accompanying other-organ injuries, radiological imaging techniques, and treatment. RESULTS: Sixty-eight patients (63%) had blunt, 25 (24%) had penetrating, and 12 (11%) had iatrogenic trauma, and 3 patients (3%) had spontaneous organ injury. When we considered the affected organ, renal trauma was determined in 34 patients (32%), ureteral trauma in 11 (10%), bladder injuries in 18 (17%), urethral trauma in 27 (25%), testicular trauma in 6 (6%), and penile trauma in 12 (10%) patients. Seventeen patients (50%) had grade 3, 11 (32%) had grade 4 and 6 (18%) had grade 5 renal injury; 6 patients of these cases underwent surgical treatment. CONCLUSION: Our results were parallel to those available in the literature. Due to the lack of sufficient information about urogenital trauma rates in our country, it would be highly useful for reference centers to evaluate and publish their own data.