title: Assessment of genitourinary trauma in southeastern iran.
abstract: BACKGROUND
  To survey genitourinary (GU) organ injury following general trauma, we performed an epidemiologic study of urogenital injuries in trauma patients referred to our hospital (a teaching hospital affiliated with the Zahedan University of Medical Sciences).
  
  
  OBJECTIVE
  We aimed to assess the epidemiology of urogenital system injuries in southeastern Iran.
  
  
  METHODS
  From April 2009 to November 2011, all patients with GU injuries referred to our hospital were studied. The data including age, sex, type of injury, mechanism of trauma, and prognosis of patients was collected and analyzed.
  
  
  RESULTS
  From a total of 3450 patients, 66 (1.91%) had injuries of the urogenital system; 49(74.24%) were male and 17(25.75%) female. The patients' mean age was 23 ± 12 years (range 2 to 75 years). Of these 66 patients, 61 (94.24%) had blunt trauma, and 5 (7.57%) had penetrating trauma. Motor vehicle accidents were the most common cause of trauma (63.63%). The most common injured organs were kidneys in 41 (62.12%) and the bladder in 9 (13.6%); 47 patients (71.21%) had associated intra-abdominal injuries, and 42 (63.63%) had other accompanying injuries; 23(34.84%) patients required surgical intervention. Three patients (4.54%) died due to the severity of injuries (Injury Severity Score > 12).
  
  
  CONCLUSIONS
  In our assessment, blunt trauma including road traffic accidents were the main cause of urogenital injuries. Most patients with urogenital trauma had multiple injuries, and required a multidisciplinary approach for management.
authors.affiliation: Department of Surgery, Imam Ali Educational Hospital, Zahedan University of Medical Sciences, Zahedan, IR Iran.
authors.forename: Amene
authors.initials: A
authors.lastname: Sabzi Sarvestani
authors.affiliation: Department of Surgery, Imam Ali Educational Hospital, Zahedan University of Medical Sciences, Zahedan, IR Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Zamiri
keywords: Epidemiology; Iran; Trauma; Urogenital System