Injury of the urogenital system

Trauma is defined as a physical injury or a wound to living tissue caused by an extrinsic agent. Trauma is the sixth leading cause of death worldwide, accounting for 10% of all mortalities. It accounts for approximately 5 million deaths each year worldwide and causes disability to millions more. About half of all deaths due to trauma are in people aged 15–45 years and in this age it is the leading cause of death.

Death from injury is twice as common in males as females, especially from motor vehicle accidents (MVA) and interpersonal violence. Significant differences exist in the causes and the effects of traumatic injuries between geographical areas, low, middle, and high-income countries. alcohol and drug abuse increase the rate of traumatic injuries. Ureteral trauma is relatively rare but due mainly to iatrogenic injuries, and in penetrating gunshot wounds. Traumatic bladder injuries are usually due to blunt (MVA) causes and associated with pelvic fracture, may also be a result of iatrogenic trauma. The anterior urethra is most commonly injured by blunt or “fall-astride” trauma, the posterior urethra is usually injured in pelvic fracture cases. Genital trauma is much more common in males due to anatomical considerations and more frequent participation in physical sports, violence and war-fighting.

The lecture deals with all the most important aspects of kidney and genital injuries in urology, their diagnosis and treatment, for the needs of students studying at the Faculty of Medicine in Košice in English.

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