Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009:2009:275634.
doi: 10.1155/2009/275634. Epub 2009 Apr 5.

The incidence, management, and outcome of penetrating bladder injuries in civilians resultant from armed conflict in Baghdad 2005-2006

Firas G Petros  1 , Richard A Santucci, Naimet K Al-Saigh
Affiliations

The incidence, management, and outcome of penetrating bladder injuries in civilians resultant from armed conflict in Baghdad 2005-2006

Firas G Petros et al. Adv Urol. 2009.

Abstract

The purpose of this paper is to review the diagnosis, treatment, and outcomes of penetrating bladder injuries suffered by civilians in the Iraqi war zone. Materials and Methods. All civilian trauma cases received alive at Al-Yarmouk Teaching Hospital from January 2005 to August 2006 were reviewed for the presence of bladder injury. Results. 533 cases of penetrating abdominal trauma were identified, of which 177 (33%) involved the genitourinary (GU) system and 64 (12%) involved the bladder. Most (70%) were young males, and most (55%) had grade IV injuries. Associated injuries occurred in 63/64 (98%) of patients. 3 patients had missed bladder injuries, and all of these had complications related to their missed injury. Bladder-related complications occurred in 11% of cases, and mortality in 13%, all due to extravesical injuries. Conclusions. Penetrating bladder injury among civilians in Baghdad war zone resulted in 64 cases in 18 months. The initial detection rate is very high (98%), and after primary repair, lasting complications are rare. Morbidities from missed injuries were severe hematuria and vesicorectal fistula. However, (3%) of vesicorectal fistulae healed spontaneously with prolonged bladder drainage. Associated injuries are the rule in penetrating bladder injury patients, and must be diligently investigated and treated.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Age distribution of patients with penetrating bladder injury.
Figure 2
Figure 2
AAST organ injury severity scale grade of 64 penetrating bladder injuries.
Figure 3
Figure 3
Location of 64 penetrating bladder injuries.
Figure 4
Figure 4
Concomitant injuries in 64 penetrating bladder injury patients.
Figure 5
Figure 5
Complications in 64 patients with penetrating bladder injuries.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Selikowitz SM. Penetrating high velocity genitourinary injuries—part I: statistics, mechanisms, and renal wounds. Urology. 1977;9(4):371–376. - PubMed
    1. Hudolin T, Hudolin I. Surgical management of urogenital injuries at a war hospital in Bosnia-Herzegovina, 1992 to 1995. Journal of Urology. 2003;169(4):1357–1359. - PubMed
    1. Duncan AO, Phillips TF, Scalea TM, Maltz SB, Atweh NA, Sclafani SJ. Management of transpelvic gunshot wounds. Journal of Trauma. 1989;29(10):1335–1340. - PubMed
    1. Hudak SJ, Morey AF, Rozanski TA, Fox CW., Jr. Battlefield urogenital injuries: changing patterns during the past century. Urology. 2005;65(6):1041–1046. - PubMed
    1. Santucci RA, McAninch JW. Bladder injuries: evaluation and management. Brazilian Journal of Urology. 2000;26(4):408–414.

LinkOut - more resources