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Firework-related genitourinary trauma: a single institution case series
Rishi R Sekar1, Alice T Chu1, Monica S Vavilala2
1Department of Urology, University of Washington School of Medicine, 1959 NE Pacific, Box 356510, Seattle, WA, 98195, USA.
International Urology and Nephrology
|April 19, 2020
Summary
Firework-related genitourinary trauma most often affects young men, leading to severe injuries requiring significant surgical intervention. Mortar and shell fireworks are frequently implicated in these incidents, highlighting a need for further study.
Area of Science:
- Trauma Surgery
- Urologic Surgery
- Public Health
Background:
- The clinical impact of firework-related genitourinary trauma is not well-documented.
- Understanding injury patterns and outcomes is crucial for prevention and treatment.
Purpose of the Study:
- To characterize the patterns, interventions, and outcomes of firework-related genitourinary trauma.
- To evaluate the association between specific firework types and injury characteristics.
Main Methods:
- Retrospective case series of patients treated at a level I trauma center (2005-2019).
- Analysis of 15 patients with firework-related genitourinary trauma.
- Examination of injury patterns, operative interventions, clinical outcomes, and firework types.
Main Results:
- 15 male patients (mean age 29.7 years) sustained firework-related genitourinary injuries.
- Common sites included the scrotum and penis, with high rates of operative intervention (mean 1.9 per patient).
- Mortar/shell fireworks were most frequent (66.7%), often legally obtained.
Conclusions:
- Firework-related genitourinary injuries predominantly affect young men, resulting in polytrauma.
- High operative rates and association with specific firework types (mortar/shell) are noted.
- Further research is required to understand long-term sequelae.
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