title: [Urogenital injuries accompanying pelvic ring fractures].
abstract: BACKGROUND
  Follow-up of patients with pelvic ring fractures and associated injuries of the lower urogenital tract was performed from January 2000 to October 2004. Analysis focused on incidence, fracture type, type of urogenital injury, associated intrapelvic lesions, mortality, and urologic outcome.
  
  
  RESULTS
  The retrospective study included 18 of 111 patients (16.2%). Nine patients had a rupture of the urethra, six a rupture of the bladder, three a rupture of the penile root, and two a gonadal defect. The type of the pelvic ring fracture according to the AO classification was type A in 1, type B in 6, and type C in 11 cases. Fifteen patients (83.3%) were followed up clinically for a mean duration of 26 months (range: 12-66 months) after trauma. Seven patients were asymptomatic concerning the urogenital injury, five had erectile dysfunction, two had urethral stenosis, in one case associated with incontinence, and one patient with bilateral defect of the testicles was under hormone substitution therapy.
  
  
  CONCLUSIONS
  Urogenital injuries, often associated with intrapelvic lesions in so-called complex pelvic trauma, are typical for high-grade pelvic ring fractures and have an essential prognostic value for the patient's morbidity and quality of life.
authors.affiliation: Universitätsklinik für Unfallchirurgie und Sporttraumatologie, Salzburg, Osterreich. m.tauber@salk.at
authors.forename: M
authors.initials: M
authors.lastname: Tauber
authors.forename: H
authors.initials: H
authors.lastname: Joos
authors.forename: S
authors.initials: S
authors.lastname: Karpik
authors.forename: S
authors.initials: S
authors.lastname: Lederer
authors.forename: H
authors.initials: H
authors.lastname: Resch
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D010413:Penis / Q000293:injuries* / Q000601:surgery; D012421:Rupture; D013737:Testis / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D014567:Urography