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Urethral injury in major trauma
Emir Battaloglu1, Marisol Figuero2, Christopher Moran3
1University Hospitals Birmingham, United Kingdom.
Injury
|March 13, 2019
Summary
Urethral injury is rare in major trauma, affecting 1 in 2 million people annually. Most patients are male, often injured in road traffic accidents, with pelvic fractures significantly increasing mortality risk.
Area of Science:
- Traumatology
- Urology
- Epidemiology
Background:
- Urethral injury presents diagnostic and treatment challenges in major trauma cases.
- Understanding incidence and prognostic factors is crucial for patient outcomes.
Purpose of the Study:
- To determine the incidence and epidemiological factors of urethral injury in major trauma.
- To identify prognostic factors associated with urethral injury in trauma patients.
Main Methods:
- Retrospective review of patients with urethral injury from 2010-2015.
- Quantitative analysis using the Trauma Audit and Research Network (TARN) database in England and Wales.
Main Results:
- 165 urethral injuries identified; over 90% were male, primarily from road traffic accidents.
- 12% overall mortality; 82% of injuries associated with pelvic fractures, doubling mortality.
- Urethral injury linked to unstable pelvic fractures, not specific types.
Conclusions:
- Confirms rare incidence of urethral injury in major trauma (1 per 2 million population/year).
- Pelvic fractures significantly increase mortality risk in patients with urethral injury.
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