1. Management of War-related Genitourinary Injuries.
- Author
-
Aydın, Arif, Özbay, Engin, Durmuş, Emrullah, Öncel, Halil Ferat, Karlıdağ, İsmail, Salar, Remzi, and Sönmez, Mehmet Giray
- Subjects
WOUND & injury classification ,BLADDER injuries ,TRAUMA surgery ,GENITOURINARY organ injuries ,GUNSHOT wounds ,NEPHRECTOMY ,WAR ,WORK-related injuries ,TRAUMA centers ,INTRAOPERATIVE care ,RENAL artery ,TESTICULAR diseases ,GENITALIA ,EMOTIONAL trauma ,TREATMENT effectiveness ,EMERGENCY medical services ,MEDICAL referrals ,URETHRA diseases ,HEALTH care teams ,DESCRIPTIVE statistics ,ABDOMINAL injuries ,BLADDER diseases ,UROLOGICAL surgery ,DATA analysis software ,UROLOGY - Abstract
Objective: This study aimed to share the diagnosis and treatment results of patients who received genitourinary system interventions or surgeries for injuries sustained during the Syrian Civil War. Materials and Methods: Patients who underwent surgery for firearm injury-related urological trauma and other system injuries accompanied by urological trauma in a border city hospital urology department between October 2012 and May 2016 were evaluated. In addition, patients were classified according to trauma area and presence of accompanying non-genitourinary trauma. Results: Isolated genitourinary injuries were present in 7 of 37 patients (18.9%) who were brought to the emergency service due to war injuries. The most common accompanying damage to the genitourinary system was abdominal injury (56.7%), and 15 (40.5%) patients had intervention after intraoperative consultation. When urological injuries were classified, there were 19 (51.3%) major renal injuries, 3 (8.1%) ureteral injuries, 7 (18.9%) bladder injuries, 4 (10.9%) posterior urethral injuries, 3 (8.1%) testicular injuries, and 3 (8.1%) external genital organ injuries. The most common urological surgical procedure was nephrectomy, and the second was bladder perforation repair. Conclusion: This study demonstrates the necessity of a multidisciplinary approach especially for patients with war-related injuries. Moreover, important information is given about the classification and type of genitourinary system injuries. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF