title: Urogenital and Rectal Multisystem Organ Injury After Detonation of an Explosive Substance in the Rectum of a Schizophrenic Man.
abstract: Penetrating injuries are caused by the injury of perineal area with gun or stab wounds, which may cause complex injuries or multiple organ injuries. Infections, bleeding, necrotizing fasciitis, ureterocutaneous fistulas, diverticulum, abscesses, narrowing, and incontinence may arise after urethral injuries. Although there are several case reports of urogenital system traumas in the literature, this case reports a schizophrenic patient who had a multisystem genitourinary and rectal trauma after self-detonation of an explosive in the rectum and managed with reconstructive surgery without any postoperative complications. Lower urinary tract anatomy was preserved and full continence was achieved after the surgical procedure.
authors.affiliation: Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
authors.forename: Ali E
authors.initials: AE
authors.lastname: Zumrutbas
authors.affiliation: Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Baser
authors.affiliation: Department of Urology, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Cenk I
authors.initials: CI
authors.lastname: Acar
authors.affiliation: Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ozlulerden
authors.affiliation: Department of General Surgery, Denizli State Hospital, Ministry of Health, Denizli, Turkey.
authors.forename: Aysegul
authors.initials: A
authors.lastname: Okutan
authors.affiliation: Department of General Surgery, Denizli State Hospital, Ministry of Health, Denizli, Turkey.
authors.forename: Umit Y
authors.initials: UY
authors.lastname: Sahin
authors.affiliation: Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Aybek
keywords: Bladder; Genitourinary trauma; Rectal trauma; Urethral reconstruction