Pattern of Genitourinary Tract Injuries in Patients With Multiple Trauma at the Kenyatta National Hospital

Abstract

Background: Genitourinary Tract Injury Is Common In Multiple Injured Patients After Both Penetrating And Blunt Trauma. Current Published Data, Mostly From Developed Countries, Indicate Variations In Pattern Of Genitourinary Injuries In Terms Of Overall Prevalence In Multiple Trauma Patients, Frequency Of Individual Genitourinary Organ Involvement, Mechanisms Of Injury, Clinical Presentation, And Associated Injuries. Locally, We Do Not Have Data For Comparison And To Guide Clinical Practice. Study Objective: To Determine The Pattern And Clinical Presentation Of Genitourinary Tract Injuries Among Multiple Trauma Patients At The Kenyatta National Hospital (Knh). Study Design And Sites: This Was A Cross Sectional Study Undertaken In The Accident And Emergency Department (A&e), Surgical Wards, And Intensive Care Unit Of The Kenyatta National Hospital. Participants And Methodology: A Total Of 384 Patients With Multiple Trauma In Knh Were Enrolled In The Study After Signing A Written Consent Form. An Interviewer Guided Questionnaire Was Administered To The Eligible Participants And Data Collected From Patient And Their Files On The Demographic Characteristics, Genitourinary Organ Injured, Clinical Presentation, Mechanism Of Injury And Associated Injuries Using A Pretested Data Collection Tool. Data Management: The Collected Data Was Entered Into Spss Version 23.0 And Analyzed For Means, Frequencies And Proportions. The Results Are Presented In Tables. Results: Three Hundred And Eighty-four Participants (384) With Multiple Traumata Were Enrolled In The Study Between The Period Of November 2020 And April 2021. The Age Of The Participants Ranged Between 19 And 59 Years, With A Mean Age Of 29.7 (Sd 11.0) Years. Genitourinary Injuries Were Recorded In 52 Patients Representing 13.5%. The Majority Were Males (37, 71.2%), While Females Were (15, 28.8%). The Most Commonly Injured Genitourinary Organ Was The Urethra (27, 51. 9%). Blunt Trauma Was Recorded In 76.9% While Penetrating Trauma In 23.1%. All Genitourinary Injuries Were Associated With Nongenitourinary Injuries With Pelvic Fractures Being The Most Common At 52.0%. Conclusion: Epidemiology Of Trauma Is Varied Hence There Is Need For Every Region To Establish Its Own Updated Database. Genitourinary Injuries Mostly Result From Blunt Trauma

Due To Road Traffic Accidents With Urethral Injuries Being The Most Common In Our Setting; And Mostly Seen In The Youth.