FOR IMMEDIATE RELEASE: May 18, 2008
Wendy Waldsachs Isett, AUA
AUA 2008: UNIQUE EXPERIENCE WITH CIVILIAN BLADDER TRAUMA IN BAGHDAD
The most common cause of bladder trauma in the
From January 2005 to August 2006, the Emergency Department at Al Yarmouk Teaching Hospital received alive 533 patients with major abdominal trauma. Penetrating bladder injuries occurred in 12 percent of these cases. The majority of the patients were injured by bullets (78.1 percent) while the others were injured by shells or shrapnel from IEDs. Associated bowel injury was present in the great majority of patients (89 percent). The majority of injuries were severe and highly associated with other organ injuries. When abdominal injury was associated with chest and/or vascular trauma, there was a significantly higher mortality rate.
“Different wars in history have produced unique types of trauma,” said Ira D. Sharlip, M.D., a spokesman for the AUA. “The wartime medical experience in
Despite finding that 54.7 percent of the abdominal injuries were stage IV (advanced in the staging system of the American Association for the Surgery of Trauma), serious long-term complications occurred in only 10.9 percent of cases. A large majority (76.6 percent) were discharged alive and almost all of the bladder trauma cases recovered normal bladder function.
In addition to the author, Ira D. Sharlip, M.D., chair of the AUA Public Media Committee, will be on hand to answer questions and provide third-party perspective on the study.
NOTE TO REPORTERS: Experts are available to discuss these studies outside normal briefing times. To arrange an interview with an expert, please contact the AUA Communications Office at the number above or e-mail Wendy Isett at firstname.lastname@example.org.
Alsaigh NK, Petros FG, Dhabi AA: Penetrating Bladder Injuries in Abdominal Trauma: An Experience from