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Simultaneous upper and lower urinary tract injury from external trauma.
1Division of Urology, Hennepin County Medical Center, Minneapolis, Minnesota.
Urology
|September 1, 1990
Summary
Simultaneous upper and lower urinary tract injuries are rare, affecting 0.4% of patients. These injuries often occur with multiple associated traumas, significantly impacting patient outcomes and survival rates.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Simultaneous upper and lower urinary tract injuries are infrequently documented.
- Associated injuries are common in patients with urinary tract trauma.
Purpose of the Study:
- To determine the incidence and outcomes of simultaneous upper and lower urinary tract injuries.
- To highlight the significance of associated injuries in this patient cohort.
Main Methods:
- Retrospective review of 2,310 patients with urinary tract injuries.
- Analysis of injury severity, associated injuries, and patient outcomes.
Main Results:
- Simultaneous upper and lower urinary tract injuries occurred in 10 patients (0.4%).
- All patients had multiple associated injuries (average 4.4 per patient).
- Mortality was higher when both urinary injuries were significant (3/3 deaths) or when one was significant and the other minor (2/4 deaths).
Conclusions:
- Simultaneous upper and lower urinary tract injuries are rare but associated with high morbidity and mortality due to severe associated injuries.
- A comprehensive urologic evaluation is crucial for all patients with severe multiple injuries.