UROLOGICAL COMPLICATIONS IN PELVIC FRACTURES: CORRELATION BETWEEN TYPES OF FRACTURES AND URINARY INJURIES

Öz

Purpose: The aim of the study was to investigate radiological findings, specific pelvic fractures and urological injuries accompanying fractures of the pelvic region. Material and Method: Patients with pelvic fracture who applied to the emergency department between January 2013 and December 2019 and were admitted to orthopedics and traumatology clinic were retrospectively screened. Pelvic fractures were typed according to Tile classification using the hospital’s registration system. The present study include 62 patients with pelvic trauma (44 men, 18 women), who were consulted with the urology clinic upon their admission by the emergency department and then followed up by the urology clinic upon their hospitalization. Results: The mean age of patients is 48 (7-90). 26 cases (47.6%) were in-vehicle traffic accident (IVTA), 14 cases (22.2%) extravehicular traffic accident (EVTA), 2 cases (1.6%) motorcycle accident, 16 cases (25.4%) fall down from height, 2 cases occupational accidents, and 2 cases accidents due to other causes. The most common pelvic fractures are Tile A2, B2 and B1. The most common accompanying finding in urogenital injuries is unexplained microhematuria (20.6%) and macrohematuria (22.2%). The most common types of pelvic fractures accompanied by urogenital injuries are Tile Types A2 and B2. There is a significant relation between types of pelvic fractures and urogenital injuries. Conclusion: Pelvic ring injuries are injuries with high mortality and morbidity, which are often caused by high-energy injuries. Therefore, in order to minimize mortality and morbidity, a quick and aggressive approach is required for diagnosis and treatment in emergency services. Detection of the specific fracture pattern will also facilitate the detection of additional concomitant urological injury, which will create a chance for early intervention.

Anahtar Kelimeler

• Macrohematuria
• Bladder injury
• Microhematuria
• Pelvic fracture
• Tile Classification.

Kaynakça

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