Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries

Figler, Bradley D.; Hoffler, C. Edward; Reisman, W. Michael; Carney, K. Jeff; Moore, Thomas J.; Feliciano, David V.; Master, Viraj A.

doi:10.1016/j.injury.2012.03.031

Cited by 94 publications

(96 citation statements)

References 44 publications

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“…Mesaneye 350 ml'ye kadar doldurulan opak madde ile çekilen düz veya BT sistografi yeğlenen tanısal yön-temdir. BT sistografi eşzamanlı pelvik ya da abdominal yaralanmaları teşhis etme olanağına da sahiptir (45,48,49) .…”

Section: Mesane Yaralanmalarıunclassified

“…Künt travma sonrası komplikasyonsuz ekstraperitoneal rüptürü olan hastaların çoğu, tek başına kateter drenajı ile güvenle tedavi edilebilir (45,48) . Bununla birlikte, mesane boynu ilişkisi, mesane duvarında kemik parçalarının varlığı, eşlik eden rektal ve/veya vajinal yaralanmalar cerrahi müdahaleyi gerektirecektir (45,48) .…”

Section: Mesane Yaralanmalarıunclassified

“…Bununla birlikte, mesane boynu ilişkisi, mesane duvarında kemik parçalarının varlığı, eşlik eden rektal ve/veya vajinal yaralanmalar cerrahi müdahaleyi gerektirecektir (45,48) . Pelvik kırıkların açık stabilizasyon ve osteosentetik materal ile internal belirlenmesine ve tedavisine yö-nelik gittikçe artan bir eğilim vardır.…”

Section: Mesane Yaralanmalarıunclassified

“…Pelvik kırıkların açık stabilizasyon ve osteosentetik materal ile internal belirlenmesine ve tedavisine yö-nelik gittikçe artan bir eğilim vardır. Osteosentetik materyalin kullanımı ile operatif stabilizasyon sıra-sında, enfeksiyon riskini azaltmak için ekstraperitoneal bir mesane rüptürü var ise eşzamanlı olarak onarılmalıdır (45,48,50) . Mesanenin intraperitoneal rüp-türü, idrarın intraperitoneal olarak ekstravazasyonuna sekonder peritonit, sepsis ve ölümden kaçınmak için daima cerrahi olarak onarılmalıdır (45,48,50) .…”

Section: Mesane Yaralanmalarıunclassified

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Current Approachs to Urogenital System Injuries in High Energy Trauma Exposed

Değirmentepe¹,

Polat²,

Ötünçtemur³

2017

Okmeydani Medical Journal

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ÖZ GİRİŞÜriner sistemin organları, idrar oluşturma (böbrek), idrar iletme (üreterler ve üretra) veya idrar depolamaya (mesane) dayalı olarak vücudun diğer katı ve içi boş organlarından farklıdır (1) . Genitoüriner sistem travmaları tüm travma olgularının %10'unu oluştur-masına rağmen, önemli bir konudur (2) . Künt karın yaralanması denildiğinde ne tür nesne ile oluşursa oluşsun karın duvarı bütünlüğü bozulmaksızın karın içi organlarda yaralanma oluşturan travma anlaşılır. Künt yaralanmalar genellikle motorlu araç kazaları, yüksekten düşme ve şiddet içeren saldırılar sonucu meydana gelir. Künt travmaların en sık nedeni trafik kazalarıdır. Hareket halinde ani yavaşlamalar veya alınan darbeye bağlı ezilmeler organlarda yırtılma veya kontüzyon ile sonuçlanabilir (2) . Penetran travmada karın duvar bütünlüğü bozulmuştur. Penetran (delici-kesici) yaralanmaların en sık nedeni ateşli silahlarla veya bıçaklı saldırılara bağlı delici kesici alet yaralanmalarıdır. Penetran yaralanmalar künt yaralanmalara göre daha ciddi seyreder. Kentsel bölgelerde penetran travma görülme yüzdesi artar (3) . Ateşli silah kullanımına bağlı oluşan yaralanmalarda organlarda büyük parankimal hasarlar gözlemlenir ve genellikle çoklu organ yaralanması eşlik etmektedir. Ateşli silah yaralanmasının ilk değerlendirilmesinde, neden olan silahın özellikleri ve mermi balistiği önemli faktör-lerdendir. Yumuşak doku hasarında en önemli faktör merminin hızı ve boyutudur (4,5) . BalistikMerminin doku ve organlar üzerindeki etkileri, diğer yaralanmalardan farklıdır. Önceleri kurşun yarasının şiddetinin silahla üretilen enerjiye bağlı olduğuna inanılıyordu (E=1/2 MV2). Bu teoriye göre, merminin büyüklüğü ve hızı enerji üretiminde önemlidir. Sonradan, bu teorinin doğru olmadığı belirlendi, çün-kü dokuya aktarılan enerji doku hasarında kritik bir

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Section: Mesane Yaralanmalarıunclassified

See 2 more Smart Citations

Current Approachs to Urogenital System Injuries in High Energy Trauma Exposed

Değirmentepe¹,

Polat²,

Ötünçtemur³

2017

Okmeydani Medical Journal

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“…Pelvic fracture-associated urethral disruption occurs in as many as 15% of severe pelvic fractures. 2 These injuries are typically managed with suprapubic tube placement and delayed urethroplasty 3 months later. Early endoscopic realignment may be used in select cases instead of a suprapubic tube, but these patients should be monitored closely as vast majority of them will require urethroplasty.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study on the perceptions of patients with urethral stricture

et al. 2017

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Background: Urethral stricture means narrowing of the urethra and is caused due to injury, instrumentation, infection etc. In as much as urethral stricture is a highly disabling condition and is common in our places, it definitely plays an important role in a sufferer daily life. In our project, we have ventured a qualitative study of perceptions and actual impositions on the life of patients suffering from chronic urethral stricture.Methods: The study was one of qualitative descriptive type involving in depth interviews (IDI) of 18 male patients of Urethral stricture who were diagnosed and treated at IPGMER.Results: The results showed that the IDIs could be divided into several categories each of which is further divided into several codes. The categories are given here with codes in parenthesis. Catheter related problems (leakage, block, physical problems, change, availability, health personnel, dress change, smell of urine, water drinking), disturbance of sleep (initiation, awakening, disturbance of bed partner, sleepless night), Role of family members (care giving, attitude, negligence), financial condition (jobless, help from friends, support, reversal of role, family crisis), social life (activity, enjoyment, getting hurt), mental health (loneliness, helplessness, sadness, getting hope) and sexual life (urge, erection, coital pain , discomfort).Conclusions: The major findings were that most of the patients had very good co-operation and care from the family; financial assistance was also obtained from family and friends. Majority of the patients were hopeful that they would be totally cured in near future.

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Incidence of genitourinary injuries in pelvic fractures: A 12‐year single‐center retrospective study

Kaneko

Yanagida

Matsui

et al. 2022

Neurourology and Urodynamics

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Objective This study aimed to determine the epidemiology of genitourinary injuries in pelvic fractures and elucidate the clinical outcomes of patients with pelvic fractures with and without genitourinary injuries at a tertiary trauma center in Japan. Methods Patients with pelvic fractures in our tertiary trauma center between May 2009 and April 2021 were retrospectively assessed. The patients' demographics, mechanism of injury, and hospital course details were collected. The outcomes of patients with pelvic fractures with and without genitourinary injuries were compared. Results Of 402 patients with pelvic fractures, 18 (4.5%) had genitourinary injuries. Falls were the most common mechanisms of injury for all pelvic fractures The incidence of bladder, kidney, urethral, and testis injuries were 2.0%, 1.2%, 1.2%, and 0.5%, respectively. Patients with genitourinary injuries were significantly younger (median age, 26 vs. 51 years; p < 0.001), had a higher rate of intensive care unit admission (94% vs. 58%; p = 0.002), remained hospitalized longer (median duration, 82 vs. 45 days; p < 0.001), and had a longer intensive care unit stay (median duration, 6 vs. 2 days; p < 0.001) when compared to patients without genitourinary injuries. Genitourinary injuries were not associated with in‐hospital mortality. Conclusions The incidence of genitourinary injuries with pelvic fractures was 4.5%. The presence of genitourinary injuries was associated with a higher rate of intensive care unit admission, longer hospital stay, and longer intensive care unit stay, but it was not associated with in‐hospital mortality.

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Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries

Cited by 94 publications

References 44 publications

Current Approachs to Urogenital System Injuries in High Energy Trauma Exposed

Current Approachs to Urogenital System Injuries in High Energy Trauma Exposed

A qualitative study on the perceptions of patients with urethral stricture

Incidence of genitourinary injuries in pelvic fractures: A 12‐year single‐center retrospective study

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