Epidemiology of urogenital trauma in Iran: results of the Iranian National Trauma Project.

INTRODUCTION We report the incidence, distribution, etiology, and outcome of the urogenital trauma in 8 major cities of Iran according to the database of national trauma project. MATERIALS AND METHODS Between 2000 and 2004, we prospectively collected the data of all the traumatic patients hospitalized for more than 24 hours in 8 cities (Tehran, Mashad, Ahwaz, Shiraz, Tabriz, Qom, Kermanshah, and Babol). We analysed the data taken from 17,753 trauma admissions. Patients with sustained urogenital traumas were identified and studied. RESULTS A total of 175 patients (0.98%) had injuries to the urogenital system. Male to female ratio was 4. The patients' mean age was 25 +/- 16 years (range, 2 to 80 years). Of 175 patients, 159 (90.9%) had blunt trauma and 16 (9.1%) had penetrating trauma. Road traffic accident was the most common cause of trauma (65.1%). The most common injured organs were the kidney in 61.1% and the bladder in 13.7%. One hundred and forty-two patients (81.1%) had associated intra-abdominal injuries and 129 (73.7%) had other accompanying injuries. Sixty (34.2%) patients required surgical intervention. Nine patients (5.2%) died due to the severity of the injuries. All patients who died had severe injuries (Injury Severity Score >12). CONCLUSION In Iran, blunt traumas including road traffic accidents are the main cause of urogenital traumas. The majority of the patients with urogenital trauma have multiple injuries and require a multidisciplinary approach.