Urogenital War Injuries

Mareković, Zvonimir; Derezic, Daniel; Krhen, Ivan; Kaštelan, Željko

doi:10.1093/milmed/162.5.346

Cited by 12 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tucak et al documented GU trauma as 2.5% of all casualties while renal injuries as the major organ afflicted was 45% during the war, however they managed to salvage kidneys in 75% of the cases 2 . Marekovic et al studied war injuries during Croatian war and documented incidence of GU injuries as 4.4% of total casualties; renal trauma was 35% and was the commonest of all; 6 out 21 (28.6%) underwent nephrectomy due to high grade renal injuries 16 . Abu-Zidan et al during the Gulf war documented 42% of renal injuries with 33% nephrectomy 17 .…”

Section: Discussionmentioning

confidence: 99%

Genitourinary Injuries During War Against Terror: A Single-Center Experience

Khan

Kiani

Nawaz

et al. 2021

PAFMJ

View full text Add to dashboard Cite

Objective: To compare our experience of genitourinary injuries during the war against terrorism with the record of those in previous wars of the World. Study Design: Cross sectional study. Place and Duration of Study: Urology department, Combined Military Hospital Peshawar, from Jun 2011 to Aug 2014. Methodology: We treated 89 (5.6%) cases of genitourinary injuries received in our tertiary care hospital in Khyber Pakhtunkhwa. The hospital was located at a distance of 2-3 hours of evacuation time by helicopter from the forward operational area. Results: The frequency of genitourinary injuries among 1589 war casualties was (5.6%). Out of these 49 (55%) were due to sniper shots and 40 (45%) due to improvised explosive device. Kidney was the most common organ injured 30 (33.7%), followed by bladder 20 (22.5%) and urethra 14 (15.7%). Majority of renal and bladder injuries were afflicted in those soldiers who were not wearing the protective jackets. Associated injuries to other organs were identified in 81% cases. Salvage of all genitourinary organs was the aim; however, nephrectomy and orchiectomy had to be performed in 30% and 50% respectively. Conclusion: Salvage of genitourinary war injuries poses a challenge to the trauma surgeon as lifesaving measures take precedence over organ preservation. Renal trauma in war was found to be the leading critical genitourinary injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Genitourinary Injuries During War Against Terror: A Single-Center Experience

Khan

Kiani

Nawaz

et al. 2021

PAFMJ

View full text Add to dashboard Cite

show abstract

“…[5][6][7][8][9] Several reviews have been published on the experience with urologic injuries in the Croatian war. [10][11][12][13] Vuckovic et al [13] demonstrated that renal and ureteral injuries constituted 47% of the war injuries, and injuries of the bladder, urethra, and external genitalia occurred in 17.2%, 4.6%, and 30.8%, respectively. The University Hospital at Rebro reported that 1350 war casualties were treated with a 4.4% incidence of urologic injuries; these included 35% to the kidney, 15% ureter, 11.6% bladder, 3.3% urethra, 25% testes, and 10% penis.…”

Section: Discussionmentioning

confidence: 99%

“…The University Hospital at Rebro reported that 1350 war casualties were treated with a 4.4% incidence of urologic injuries; these included 35% to the kidney, 15% ureter, 11.6% bladder, 3.3% urethra, 25% testes, and 10% penis. [ 10 ] In a review of war injuries to the ureter in Croatia, another institution found a 2.6% incidence of urologic injury among 4425 wounded patients, of which 9.5% involved the ureters. [ 12 ] Our rates of ureteral injury were found to be higher with %17.3.…”

Section: Discussionmentioning

confidence: 99%

Urological injuries in the civil war of Libya

Onuk¹

2020

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND:In this article, we aimed to evaluate results of patients who acquired various injuries during Libya civil war who then were transferred to our facility with genitourinary trauma for further assessment and treatment. METHODS:A total of 121 wounded patients, including 21 (17.3%) with 1 or more combined urogenital injuries, were treated at Yeni Yüzyıl University Private Gaziosmanpaşa Hospital from October 2014 to September 2016. RESULTS:Of the 21 patients, 13 (61.9%) were injured by explosive weapons, while the rest 8 (38.1%) had bullet wounds. The 21 urogenital injuries were to the kidney in 7 cases (33.4%), ureter in 5 (23.8%), bladder in 5 (23.8%), scrotum in 2 (9.5%), and penis in 2 (9.5%). There was associated damage to organs other than the urogenital system in 21 patients (100%). Two patients had nephrectomies performed on-site medical facility. The rest of patients had no urogenital organ resections. Urogenital trauma had higher rates of liver damage, generalized infection, blood transfusions, and longer hospital stay. CONCLUSION:Knowing that war related surgery patients should be approached as a distinct and non-standard category, every case must be evaluated individually. Patients should be evaluated in a multidisciplinary approach and physicians should be aware of infections affecting morbidity and mortality.

show abstract

“…Although injuries to the external genitalia are typically not in and of themselves life threatening, they are commonly associated with other potentially life-threatening injuries (for example, to abdomen, pelvis or groin) [2]. Traumatic injuries to the genitourinary tract are seen in 2.2-10.3% of patients admitted to hospitals [3], [4], [5]. Of these injuries, between one-third and two-thirds of cases are associated with injuries to the external genitalia [3].…”

Section: Introductionmentioning

confidence: 99%