Les traumatismes de l’appareil génito-urinaire: Aspects épidémiologiques et lésionnels

Dékou, A; Konan, P. G.; Kouamé, B.; Vodi, C.; Ouegnin, G. A.; Kouamé, N.; Manzan, K.; Djedje, M. A.

doi:10.1007/s12301-008-0001-4

Cited by 7 publications

(8 citation statements)

References 8 publications

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“…A pool analysis of eight retrospective studies (Figure 2 ) from Senegal[ 15 - 17 ], Burkina Faso[ 18 ], Benin[ 19 , 20 ], Guinea[ 21 ], Nigeria[ 22 - 24 ] and Ivory Coast[ 25 , 26 ] evaluating 21904 patients presenting with urological emergencies revealed that approximately 6.6% of cases were due to genitourinary trauma. Further analysis of genitourinary trauma in the Sub-Saharan region showed that the rate of urethral injury[ 16 , 19 , 21 , 27 , 28 ] was the highest 42.9% (22.2%-62.2%) followed by injury to the external genitalia (penis, scrotum, testes) [ 15 , 16 , 19 - 21 , 24 - 28 ] at a rate of 25.1% (8.8%-67.7%).…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, trauma represent a significant proportion of disease burden in the region. A pool analysis of 21904 patients presenting with urological emergencies from Senegal[ 15 - 17 ], Burkina Faso[ 18 ], Benin[ 19 , 20 ], Guinea[ 21 ], Nigeria[ 22 - 24 ] and Ivory Coast[ 25 , 26 ] revealed that approximately 6.6% of cases were due to genitourinary trauma. This finding is however lower than the global estimate of genitourinary injury at 10%.…”

Section: Discussionmentioning

confidence: 99%

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Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

Cassell¹,

Manobah²

2021

WJCCM

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BACKGROUND Trauma is a major cause of morbidity globally and the sixth leading cause of death, accounting for 10% of all mortalities. The genitourinary trauma is estimated for approximately 10% of all patients presenting with trauma, and the kidney is the most injured genitourinary organ globally. However, there is a paucity of data on genitourinary injury from the Sub-Saharan, and there may be variations from common genitourinary organs injured in developed nations. AIM To provide insight on the epidemiology and management of genitourinary trauma in Sub-Saharan Africa with recommendations based on international guidelines. METHODS A thorough literature search of genitourinary trauma was conducted using PubMed, Google Scholar and African Journal Online. RESULTS A total of 30 studies from the Sub-Saharan region were eligible for the study and reviewed for epidemiology, biodata, types of injury, mechanisms of injury, treatment and follow-up. After evaluating 21904 patients presenting with urological emergencies, approximately 6.6% of cases were due to genitourinary trauma. The commonest injury was urethral 42.9% (22.2-62.2%) followed by injury to the external genitalia (penis, scrotum, testes) 25.1% (8.8-67.7%). CONCLUSION Genitourinary injury in Sub-Saharan Africa is underreported, and the presence of more trauma registries, trained urologists and trauma facilities could improve the overall standard of care as well as providing data for research and development in the field.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

Cassell¹,

Manobah²

2021

WJCCM

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“…In our study, the minimal age of the patients was 34. patients [1]. This strong male predominance in our series could be explained by the greater exposure of men to public road accidents.…”

Section: Discussionmentioning

confidence: 53%

“…Traumatic emergencies of the external genitalia are relatively uncommon and affect young people [1]. These traumas represent less than 1% in Africa [1], 8% -10% in Europe [2], 2% -10% Asia [3], 1% America [4] and 1.9% in the Middle East [5]. The etiologies are multiple and the lesions may involve the penis and/or the scrotal contents (testicle, epididymides, cord) in men and the vulva in women.…”

Section: Introductionmentioning

confidence: 99%

Taumatic Emergencies of the External Genital Organs

Patrice¹,

Akassimadou²,

Fatoumata³

et al. 2021

OJU

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Background: The traumas of scrotum are often traumas caused by accidents on the public highway or in sport. However, fractures of the penis are secondary to a direct trauma to the penis with rupture of the albuginea causing hematoma, pain and deviation of the penis. Animal bites are rare. Purpose: To describe the management of traumatic emergencies of the external genital organs at the CHU Bouaké. Patients and Methods: Retrospective and descriptive study on the patients treated at Bouaké University Hospital for traumatic emergencies of the external genital organs during the period from January 01, 2012 to December 31, 2018. The parameters studied were epidemiological, clinical and therapeutic. Results: The study period registered 26 patients. The mean age was 34.5 years, Closed trauma to the scrotum was a frequent reason with 30.8%, the trauma sat on the scrotum in 53.8%, the penis in 42.3%, the vulva in 3.8% of cases. The circumstances of discovery of trauma to the penis were dominated by coitus missteps (45.5%), on the stock exchange and vulva by accidents on the public highway (60.8%). Scrotal swelling was the frequent clinical sign (26.9%). Treatment was dominated by surgery in 92.30%. Seven patients (29.16%) underwent exploratory scrototomy associated with hematoma evacuation, five patients (20.83%), a simple trimming, five patients (20.83%), an evacuation of the hematoma associated with a cavernous suture, one patient (4.16%), a trimming associated with a suture of the vulva, one patient (4.16%), a trimming associated with a right orchiectomy. The hospital stay was less than 5 days. The course was simple in 92.

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“…Recent traumas of the external genitalia (RTEG) are common in men and rare in women [1] [2]. Due to their anatomical location and instinct of protection that they enjoy, the external genitalia are not exposed to traumatic injuries [3].…”

Section: Introductionmentioning

confidence: 99%

Recent Injuries of External Genitalia: Clinical Aspects and Management

Rimtebaye¹,

Kaboro²,

Tashkand³

et al. 2015

OJU

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Aim: Report the epidemiological, clinicopathological characteristics and ensuring management of recent traumas of the external genitalia in Urology. Methods: This was a descriptive retrospective study of 47 cases of patients suffering from recent traumas of the external genitalia over a period of 5 years. The variables studied were sociodemographic, clinical, paraclinical, therapeutic and evolutionary. Results: A total of 47 patients, including 46 men, were managed. The mean age was 26.8 years, ranging from 6 to 56 years. The circumstances of occurrence were: the missteps of coitus (n = 16), traffic accidents (n = 9) and criminal injuries (n = 8). The fracture of the penis (n = 16) was the most common lesion followed by the scrotal wound (n = 11). The management was medical and surgical and varied by the type of lesion. The outcome was favorable in 91.5% of cases. Conclusion: The incidence of traumas of the external genitalia was 9.4 in urology department in N'Djamena. Penis fracture was the frequent lesion. The management is multidisciplinary, medical and surgical.

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Les traumatismes de l’appareil génito-urinaire: Aspects épidémiologiques et lésionnels

Cited by 7 publications

References 8 publications

Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

Taumatic Emergencies of the External Genital Organs

Recent Injuries of External Genitalia: Clinical Aspects and Management

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