Accession Number:

ADA618876

Title:

Characteristics of Genitourinary Injuries Associated With Pelvic Fractures During Operation Iraqi Freedom and Operation Enduring Freedom

Descriptive Note:

Journal article

Corporate Author:

SAN ANTONIO MILITARY MEDICAL CENTER FORT SAM HOUSTON TX

Report Date:

2015-03-01

Pagination or Media Count:

5.0

Abstract:

Objectives Pelvic fractures are markers of severe injury and are often associated with lower genitourinary injuries. The purpose of this study was to investigate the incidence of lower genitourinary injuries and complaints associated with pelvic fractures sustained in combat among nonsurvivors and survivors. Methods The Armed Forces Medical Examiner System and The Joint Theater Trauma Registry databases were searched to identify survivors and nonsurvivors who sustained a pelvic fracture in combat in 2008. Survivor and autopsy data consisted of injury mode and mechanism and associated organ and extremity injuries. Pelvic fractures were classified using the Tile system. Results The database search yielded 91 nonsurvivors and 10 survivors with pelvic fractures. Forty-one patients 40 sustained 61 genitourinary injuries. The majority of genitourinary injuries in nonsurvivors were associated with Tile C pelvic fractures 70. Twenty percent of survivors had genitourinary injuries, all of which were associated with Tile A fractures. Conclusions A higher incidence of genitourinary injuries in patients with combat-related pelvic fractures 60 was found than that of their civilian counterparts. Of the survivors, 100 of those with genitourinary injuries were being treated for erectile dysfunction at their last follow-up. Continued collaboration between orthopaedic surgeons and urologist is needed to address these concurrent injuries.

Subject Categories:

  • Anatomy and Physiology
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE