Urogenital Wounds in Vietnam

Ochsner, T.G.; Busch, Frederick M.; Clarke, B.G.

doi:10.1016/s0022-5347(17)62318-8

Cited by 21 publications

(13 citation statements)

References 1 publication

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“…Reports from previous wars show that associated injuries occurred in 70–93% of the urogenitally wounded combatants, with the abdomen, chest and extremities being the most common sites [2,10,17] . Associated non-urological injuries are usually the most life-threatening, dictating priority treatment, even before a full investigation of the GU injury.…”

Section: Discussionmentioning

confidence: 99%

Urethral and penile war injuries: The experience from civil violence in Iraq

Al-Azzawi

Koraitim

2014

Arab Journal of Urology

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ObjectiveTo determine the incidence, mechanism of injury, wounding pattern and surgical management of urethral and penile injuries sustained in civil violence during the Iraq war.Patients and methodsIn all, 2800 casualties with penetrating trauma to the abdomen and pelvis were received at the Al-Yarmouk Hospital, Baghdad, from January 2004 to June 2008. Of these casualties 504 (18%) had genitourinary trauma, including 45 (8.9%) with urethral and/or penile injuries.ResultsOf 45 patients, 29 (64%) were civilians and 16 (36%) were Iraqi military personnel. The injury was caused by an improvised explosive device (IED) in 25 (56%) patients and by individual firearms in 20 (44%). Of the patients, 24 had penile injuries, 15 had an injury to the bulbar urethra and six had an injury to the posterior urethra. Anterior urethral injuries were managed by primary repair, while posterior urethral injuries were managed by primary realignment in five patients and by a suprapubic cystostomy alone in one. An associated injury to major blood vessels was the cause of death in eight of nine patients who died soon after surgery (P < 0.001).ConclusionUrethral and penile injuries were caused by IEDs and individual firearms with a similar frequency. Most of the casualties were civilians and a minority were military personnel. Injuries to the anterior urethra can be managed by primary repair, while injuries to the posterior urethra can be managed by primary realignment. An associated trauma to major blood vessels was the leading cause of death in these casualties.

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Section: Discussionmentioning

confidence: 99%

Urethral and penile war injuries: The experience from civil violence in Iraq

Al-Azzawi

Koraitim

2014

Arab Journal of Urology

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“…However, we recorded combined corporal bodies and urethral injuries in nine (31%) patients, isolated injuries to the corporal bodies in 11 (37.9%), and isolated injury to the urethra in one (3.4%). Previous studies have reported that 70–93% of reproductive and urinary tract injuries are associated with abdominal, chest, and lower limb injuries [17] , [18] ; injury to major vessels is usually the leading cause of death in these casualties [11] . In the present study, 51.7% of the penile injuries were associated with abdominal, chest, lower limb and vascular injuries.…”

Section: Discussionmentioning

confidence: 99%

“…We treated four (13.7%) patients with Grade I penile injuries non-operatively and all of these cases developed no penile-injury related complications. Early surgical exploration, debridement of devitalised tissue, preservation of viable tissue, urinary diversion, removal of foreign bodies, securing haemostasis, and repair of injured tissue, are the principles for successful treatment of serious genital injuries [18] , [22] . However, the treatment of genital and urinary tract injuries can be safely postponed for appropriate management of any life-threatening concomitant injuries [1] .…”

Section: Discussionmentioning

confidence: 99%

War-related penile injuries in Libya: Single-institution experience

Etabbal

Hussain

Benkhadoura

et al. 2018

Arab Journal of Urology

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ObjectiveTo report on our initial experience in the management of war-related penile injuries; proper diagnosis and immediate treatment of penile injuries is essential to gain satisfactory results. Besides treating primary wounds and restoring penile function, the cosmetic result is also an important issue for the surgeon.Patients and methodsThe study was conducted in the Department of Urology at Benghazi Medical Center and comprised all patients who presented with a shotgun, gunshot or explosive penile injury between February 2011 and August 2017. The patient’s age, cause of injury, site and severity of injuries, management, postoperative complications, and hospital stay, were recorded.ResultsIn all, 29 males with war-related penile injuries were enrolled in the study. The mean (SD) age of these patients was 31.3 (10.5) years. The glans, urethra, and corporal bodies were involved in four (13.7%), 10 (34.4%), and 20 (68.9%) of the patients, respectively. According to the American Association for the Surgery of Trauma Penis Injury Scale, Grade III penile injuries were the most common (11 patients, 37.9%). The most common post-intervention complications were urethral stricture with or without proximal urethrocutaneous fistula (eight patients, 27.5%), followed by permanent erectile dysfunction (five patients, 17.2%).ConclusionIn patients who sustain war-related penile injuries the surgeon’s efforts should not only be directed to restoring normal voiding and erectile function but also on the cosmetic appearance of the penis.

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“…Overarching trends included demonstration of the complex, multi-system nature of injuries associated with GU trauma. At one hospital, only 0.5% of men had isolated GU injuries ( 6 ). Casualty evacuation improved remarkably during the Vietnam War, with the transition from ground-based to airborne evacuation systems.…”

Section: The Pastmentioning

confidence: 99%

Military genitourinary injuries: past, present, and future

Balzano¹,

Hudak²

2018

Transl. Androl. Urol.

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Genitourinary (GU) injuries among military service members are as old as war itself. The frequency and clinical picture of GU injuries sustained in conflicts over the ages have evolved along with the constantly changing nature of combat. In this review, we discuss changing trends in the diagnosis and management of GU injuries over the past century and introduce areas of innovation which could impact the care of casualties who sustain GU trauma in the future.

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Urogenital Wounds in Vietnam

Cited by 21 publications

References 1 publication

Urethral and penile war injuries: The experience from civil violence in Iraq

Urethral and penile war injuries: The experience from civil violence in Iraq

War-related penile injuries in Libya: Single-institution experience

Military genitourinary injuries: past, present, and future

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