PD3-12 IMPROVISED EXPLOSIVE DEVICE-RELATED LOWER GENITOURINARY TRAUMA IN CURRENT OVERSEAS COMBAT OPERATIONS

Field: Medicine (Health Sciences)

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery I1 Apr 2014PD3-12 IMPROVISED EXPLOSIVE DEVICE-RELATED LOWER GENITOURINARY TRAUMA IN CURRENT OVERSEAS COMBAT OPERATIONS Matthew Banti, Robert Dean, James Jezior, Douglas Soderdahl, Jack Walter, and Steven Hudak Matthew BantiMatthew Banti More articles by this author , Robert DeanRobert Dean More articles by this author , James JeziorJames Jezior More articles by this author , Douglas SoderdahlDouglas Soderdahl More articles by this author , Jack WalterJack Walter More articles by this author , and Steven HudakSteven Hudak More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.157AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The use of improvised explosive devices (IED) has had a profound effect on battlefield trauma in the 21st century. Historically, genitourinary injuries have rarely been encountered in combat operations. The incidence of genitourinary injuries secondary to use of this weapon in Operations Iraqi and Enduring Freedom (OIF/OEF) has not been described. METHODS Data from the Joint Theatre Trauma Registry (JTTR) was reviewed for combat-related genitourinary injuries in OIF/OEF from 2001-2011. All United States armed service members are included in this database. Subjects were selected by a query of related CPT and ICD 9 codes related to lower genitourinary trauma. A retrospective chart review was performed for each patient to identify the date of injury, mechanism, and associated traumatic wounds. Subjects’ follow-up records were reviewed until present time or separation from active duty. RESULTS A total of 386 soldiers sustained lower genitourinary trauma, with IEDs accounting for 324 of those wounds. Dismounted injuries (62.4%) made up more of the cohort than did vehicular. Specific trauma sites include: 108 penile, 127 unilateral testis, 50 bilateral testes, 28 bladder, and 29 urethral injuries. Genitourinary injuries were strongly associated with fractures or amputations of the extremities. CONCLUSIONS This is the first review of all lower genitourinary trauma sustained by all United States armed service members in current overseas combat operations. Combat-related lower genitourinary trauma is primarily due to IEDs. The mechanism of injury primarily results in polytraumatic wounds, with isolated genital or urinary involvement being uncommon. Continued evaluation of long-term sequela, including infertility and hypogonadism, is needed. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e24 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Matthew Banti More articles by this author Robert Dean More articles by this author James Jezior More articles by this author Douglas Soderdahl More articles by this author Jack Walter More articles by this author Steven Hudak More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...