Skip to main content

Genitourinary Trauma

  • Chapter
  • First Online:

Abstract

Trauma to the genitourinary structures, while rare in the civilian experience, has been a hallmark of American combat medicine dating back to the Civil War of 1861–1865. Due to advances in weaponry and armor countermeasures, the pattern of injury has shifted to complex wounds of the lower genitourinary structures. Penetrating blast wounds to the external genitals have been associated with improvised explosive devices encountered on the modern battlefield. Expeditious diagnosis and management of renal, ureteral, and bladder trauma is essential in reducing the morbidity and mortality of these injuries, while appropriate care of genital and urethral wounds is crucial to future urinary and sexual function.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Dismounted Complex Blast Injury Task Force. Dismounted complex blast injury report of the army dismounted complex blast injury task force [Internet]. Fort Sam Houston: Army Medical Department; 2011. Available from: http://armymedicine.mil/Documents/DCBI-Task-Force-Report-Redacted-Final.pdf

    Google Scholar 

  2. Morey A, Brandes S, Dugi D, Armstrong J, Breyer B, Broghammer J, et al. Urotrauma: AUA guideline. J Urol. 2014;192(2):327–35.

    Article  Google Scholar 

  3. Young H. Wounds of the urogenital tract in modern warfare. J Urol. 1942;47:59–108.

    Article  Google Scholar 

  4. Hudak S, Morey A, Rozanski T, Fox C. Battlefield urogenital injuries: changing patterns during the past century. Urology. 2005;65(6):1041–6.

    Article  Google Scholar 

  5. Serkin F, Soderdahl D, Hernandez J, Patterson M, Blackbourne L, Wade C. Combat urologic trauma in US military overseas contingency operations. J Trauma. 2010;69:S175–8.

    Article  Google Scholar 

  6. Moore E, Malangoni M, Cogbill T, Peterson N, Champion H, Jurkovich G, et al. Organ injury scaling VII: cervical vascular, peripheral vascular, adrenal, penis, testis, and scrotum. J Trauma. 1996;41:523–4.

    Article  CAS  Google Scholar 

  7. McAninch J. Genitourinary trauma. World J Urol. 1999;17(2):65.

    Article  CAS  Google Scholar 

  8. Owens B, Kragh J, Wenke J, Macaitis J, Wade C, Holcomb J. Combat wounds in operation Iraqi Freedom and operation Enduring Freedom. J Trauma. 2008;64(2):295–9.

    Article  Google Scholar 

  9. Serafetinides E, Kitrey N, Djakovic N, Kuehhas F, Lumen N, Sharma D, et al. Review of the current management of upper urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol. 2005;67(5):930–6.

    Article  Google Scholar 

  10. Hudak S, Hakim S. Operative management of wartime genitourinary injuries at Balad Air Force Theater Hospital, 2005 to 2008. J Urol. 2009;182:180–3.

    Article  Google Scholar 

  11. Morey A, Iverson A, Swan A, Harmon W, Spore S, Bhayani S, et al. Bladder rupture after blunt trauma: guidelines for diagnostic imaging. J Trauma. 2001;51(4):683–6.

    Article  CAS  Google Scholar 

  12. Elliott S, McAninch J. Extraperitoneal bladder trauma: delayed surgical management can lead to prolonged convalescence. J Trauma. 2009;66:274–5.

    Article  Google Scholar 

  13. Banti M, Walter J, Hudak S, Soderdahl D. Improvised explosive device-related lower genitourinary trauma in current overseas combat operations. J Trauma Acute Care Surg. 2016;80:131–4.

    Article  Google Scholar 

  14. Champion H, Holcomb J, Young L. Injuries from explosions: physics, biophysics, pathology, and required research focus. J Trauma. 2009;66:1468–77.

    Article  Google Scholar 

  15. Santucci R, Chang Y. Ballistics for physicians: myths about wound ballistics and gunshot injuries. J Urol. 2004;171:1408–14.

    Article  Google Scholar 

  16. Leddy L, Vanni A, Wessels H, Voelzke B. Outcomes of endoscopic realignment of pelvic fracture associated urethral injuries at a level 1 trauma center. J Urol. 2012;188(1):174–8.

    Article  Google Scholar 

  17. Johnsen N, Dmochowski R, Mock S, Reynolds W, Miliam D, Kaufman M. Primary endoscopic realignment of urethral disruption injuries—a double edged sword? J Urol. 2015;194(4):1022–6.

    Article  Google Scholar 

  18. Martinez-Pineiro L, Djakovic N, Plas E, Mor Y, Santucci R, Serafetinidis E, et al. EAU guidelines on urethral trauma. Eur Urol. 2010;57(5):791–803.

    Article  Google Scholar 

  19. Kimbrough J. War wounds of the urogenital tract. J Urol. 1946;55:179–89.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthew Banti .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Banti, M., Walter, J.R. (2018). Genitourinary Trauma. In: Galante, J., Martin, M., Rodriguez, C., Gordon, W. (eds) Managing Dismounted Complex Blast Injuries in Military & Civilian Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-74672-2_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74672-2_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74671-5

  • Online ISBN: 978-3-319-74672-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics