PEDÝYATRÝK HASTALARDAKÝ GENÝTOÜRÝNER SÝSTEM TRAVMALARININ RETROSPEKTÝF DEÐERLENDÝRÝLMESÝ

Bu çalýþmada, kliniðimizde, son on yýlda ürogenital sistem travmasý nedeniyle hospitalize edilerek tedavisi ve takibi yapýlan 34 pediyatrik hasta retrospektif olarak deðerlendirildi. Hastalarýn 6'sý (9617.6) kýz, 28'i (9682.4) erkek olup, yaþ ortalamasý 10.1 yýl (2.5-17 yýl) idi. Hastalardaki yaralanma nedenleri 24 hastada (%70.6) trafik kazalarý, 9'u nda (%26.4) yüksekten düþme, 1'inde (%3) ateþli silah yaralanmasý idi. Hastalarýn 13'ünde (%38.2) böbrek, 13'ünde (%38.2) üretra, 4'ünde (%11.7) mesane, 3'ünde (%8.8) testis, 1'inde(%2.9) penis yaralanmasý mevcuttu. Hastalar taburcu edildikten sonra takip süresi ortalama 11.2 ay (6-12 ay) idi. Komplikasyonlar, üretra yaralanmasý olan 2 hastada üretral darlýk, mesane yaralanmasý olan l hastada mesane boynunda darlýk idi. Sonuç olarak çalýþmamýzdaki çocuklarda genitoüriner sistem travmalarý literatürle benzer olarak en sýk künt travmalar þeklinde, trafik kazalarý ve düþmeler sonucunda olup, erkeklerde kýzlara oranla daha fazla idi. Çalýþmamýzdaki en sýk yaralanan organlar böbrek ve daha sonra üretra ve mesane olup, yaralanma sonrasý komplikasyonlar nadir idi. Bununla birlikte pediyatrik hastalarda takibin önemli olduðu akýlda bulundurulmalýdýr.

A RETROSPECTIVE ANALYSIS OF GENITOURINARY TRAUMA IN PEDIATRIC PATIENTS

In the present study, 34 pediatric patients who were hospitalized and maintained with urogenital trauma in our department last ten years, were reviewed, retrospectively. Six of them (17.6%) were girls and 28 (82.4%) were boys, and the mean age was 10.1 years (ranged between 2.5-17 years). The causes of injuries were traffic accident in 24 cases (70.6%), full from a height in 9 cases (26.4%) and gun-shot in one case (3%). Traumas involving the kidney, urethra, bladder and, testis were encountered in 13 (38.2%), 13 (38.2%), 4 (11.7%), 3 (8.8%) and 1 (2.9%), respectively. The mean duration of follow up was 11.2 months (6-12 months). The encountered complications were urethral stricture in 2 cases with urethral trauma and bladder neck stricture in 1 case with bladder trauma. In conclusion, the most common pediatric genito-urinary injuries we observed in this study, were blunt trauma resulted from traffic accidents and falls, and were more frequent in boys similar to the literature. The most common injured organs were kidney, urethra and bladder and the complications were rare. But the importance of follow up in pediatric patients should be kept in mind.