title: Genitourinary injuries associated with pelvic fractures.
abstract: BACKGROUND
  Pelvic fractures represent approximately 3% of all skeletal injuries. About 15% of patients with pelvic fractures have associated bladder or urethral injuries. The most common causes of pelvic fracture are motor vehicle accidents, motorcycle crashes, motor vehicles striking pedestrians, and falls.
  
  
  METHODS
  Retrospective study included the patients treated in the Emergency Center, Clinical Center of Serbia, Belgrade, between 2000 and 2009. Of 7445 patients, there were 894 injuries of the urinary tract and 376 pelvic fractures; 55 patients with pelvic fractures (14.6%) had bladder or urethral injuries. There were 31 patients with bladder injuries, 22 patients with urethral injuries, and two patients with associated injuries of the posterior urethra and the bladder neck.
  
  
  RESULTS
  The bladder injuries were treated by surgical exploration, cystostomy, suture of the bladder lesions and urethral catheterization. Urethral injuries were treated by primary cystostomy and urethral reconstruction and catheterization in 18 patients (82%), while cystofix-cystostomy was performed in four patients (18%).
  
  
  CONCLUSIONS
  Genitourinary injuries increase overall mortality in patients with pelvic fracture, compared with traumas without associated GU injuries. These patients require multidisciplinary approach, preferably in tertiary institutions.
authors.affiliation: Urological Clinic, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Pejcić
authors.forename: Zlatibor
authors.initials: Z
authors.lastname: Loncar
authors.forename: Dragutin
authors.initials: D
authors.lastname: Rafailović
authors.forename: Miodrag
authors.initials: M
authors.lastname: Aćimović
authors.forename: Zoran
authors.initials: Z
authors.lastname: Dzamić
authors.forename: Jovan
authors.initials: J
authors.lastname: Hadzi-Djokić
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D012421:Rupture / Q000209:etiology / Q000601:surgery; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D055815:Young Adult