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
. 2021 Dec;39(12):4499-4503.
doi: 10.1007/s00345-021-03796-1. Epub 2021 Aug 12.

Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014

Hanson Zhao  1 , Colby Souders  1 , John M Masterson  1 , Catherine Bresee  1 , Alex Hannemann  2 , Jennifer T Anger  3 , George D Webster  4
Affiliations

Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014

Hanson Zhao et al. World J Urol. 2021 Dec.

Abstract

Object: To use a contemporary population-based cohort to investigate temporal trends in the national incidence of pelvic fracture urethral injuries (PFUIs) in the United States.

Methods: Using the NIS (National Inpatient Sample), we identified patients with a severe PFUI by a combination of an ICD-9 diagnosis code for pelvic fracture (808.xx) and ICD-9 procedure code for suprapubic tube (57.17 or 57.18) from 1998 to 2014. We compared the annual rates of PFUIs and the annual rates of pelvic fractures alone.

Results: An estimated total of 6052 ± 347 males with PFUIs were identified. The average age was 38.4 ± 0.5 years. 9.1% ± 0.8% of patients died while hospitalized. In the time frame studied, the rate of PFUI significantly decreased during from 532 patients in 1998 to 255 patients in 2014. Sensitivity analysis excluding patients with bladder repairs identified a similar trend. The annual rate of PFUI per 1000 pelvic fractures has also decreased from 14.6 ± 1.6 in 1998 to 6.5 ± 0.9 in 2014 (p = 0.001).

Conclusions: In this population level study, the number of severe PFUIs has decreased in the United States from 1998 to 2014, which coincides with the implementation and enforcement of seat belt and air bag regulations. Given the rarity of these cases, there is a strong need for collaborative efforts in research and teaching at tertiary care centers for reconstructive urology.

Keywords: Pelvic fracture; Primary realignment; Urethral injury; Urethroplasty; Urinary reconstruction.

PubMed Disclaimer

References

    1. Webster GD, Mathes GL, Selli C (1983) Prostatomembranous urethral injuries: a review of the literature and a rational approach to their management. J Urol 130:898–902 - DOI
    1. Warner JN, Santucci RA (2015) The management of the acute setting of pelvic fracture urethral injury (realignment vs. suprapubic cystostomy alone). Arab J Urol 13:7–12 - DOI
    1. Alwaal A, Zaid UB, Blaschko SD et al (2015) The incidence, causes, mechanism, risk factors, classification, and diagnosis of pelvic fracture urethral injury. Arab J Urol 13:2–6 - DOI
    1. Gómez RG, Mundy T, Dubey D et al (2014) SIU/ICUD consultation on urethral strictures: pelvic fracture urethral injuries. Urology 83:S48-58 - DOI
    1. Tausch TJ, Morey AF (2015) The case against primary endoscopic realignment of pelvic fracture urethral injuries. Arab J Urol 13:13–16 - DOI

LinkOut - more resources