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No AccessJournal of UrologyAdult Urology1 Apr 2013

Product Related Adult Genitourinary Injuries Treated at Emergency Departments in the United States from 2002 to 2010

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    We describe the epidemiological features of adult genitourinary injuries related to consumer products and determined the patient cohorts, products and situations associated with increased genitourinary injury risk.

    Materials and Methods:

    The National Electronic Injury Surveillance System, a data set validated to provide a probability sample of injury related emergency department presentations in the United States, was analyzed to characterize genitourinary injuries from 2002 to 2010. We analyzed 3,545 observations to derive national estimates.


    An estimated 142,144 adults (95% CI 115,324–168,964) presented to American emergency departments with genitourinary injuries from 2002 to 2010. Of the injuries 69% occurred in men. A large majority of injuries involved the external genitalia. The most common categories of products involved were sporting items in 30.2% of cases, clothing articles in 9.4% and furniture in 9.2%. The highest prevalence of injury was at ages 18 to 28 years (37.5%), which was most often related to sports equipment, such as bicycles. Older cohorts (age greater than 65 years) more commonly sustained injuries during falls and often in the bathroom during use of a shower or tub. Of all patients 88% were evaluated and treated in the emergency department without inpatient admission, although the admission rate increased with increasing patient age.


    Acute genitourinary injury is often associated with common consumer items and with identifiable high risk cohorts, products and situations. Consumers, practitioners and safety champions can use our epidemiological data to prioritize and develop strategies aimed at the prevention, limitation and informed treatment of such injuries.


    • 1 : The association between operative repair of bladder injury and improved survival: results from the National Trauma Data Bank. J Urol2011; 186: 151. LinkGoogle Scholar
    • 2 : Penile fractures: evaluation, therapeutic approaches and long-term results. J Urol1996; 155: 148. LinkGoogle Scholar
    • 3 : Traumatic ureteral injuries with delayed recognition. Urology1977; 10: 115. Google Scholar
    • 4 : Ureteral injuries from external violence: the 25-year experience at San Francisco General Hospital. J Urol2003; 170: 1213. LinkGoogle Scholar
    • 5 : Anterior urethral injury. Report of 23 cases. Ann Urol (Paris)2002; 36: 150. Google Scholar
    • 6 : Urethral and bladder neck injury associated with pelvic fracture in 25 female patients. J Urol2006; 175: 2140. LinkGoogle Scholar
    • 7 : Renal injury and operative management in the United States: results of a population-based study. J Trauma2003; 54: 423. Google Scholar
    • 8 : Bicycle-related genitourinary injuries. Urology2011; 78: 1187. Google Scholar
    • 9 : Emergent and surgical interventions for injuries associated with eroticism: a review. J Trauma2007; 62: 1522. Google Scholar
    • 10 : Renal gunshot wounds: clinical management and outcome. J. Trauma2009; 66: 593. Google Scholar
    • 11 : Incidence of iatrogenic ureteral injury after laparoscopic colectomy. Arch Surg2012; 147: 267. Google Scholar
    • 12 : The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43,000 victims. BJU Int2006; 97: 338. Google Scholar
    • 13 : A review of the technique and complications from 2,012 cases of laparoscopically assisted vaginal hysterectomy at a single institution. Aust N Z J Obstet Gynaecol2011; 51: 239. Google Scholar
    • 14 : The National Electronic Injury Surveillance System—A Tool for Researchers. Washington, D.C.: Division of Hazard and Injury Data Systems, U.S. Consumer Product Safety Commission2000. Google Scholar
    • 15 : The NEISS Sample (Design and Implementation). Washington, D.C.: Division of Hazard and Injury Data Systems, U.S. Consumer Product Safety Commission2001. Google Scholar
    • 16 : NEISS Estimates Query Builder. Accessed June 30, 2012. Google Scholar
    • 17 : Outpatient burns: prevention and care. Am Fam Physician2012; 85: 25. Google Scholar
    • 18 : Preventive strategies for traumatic dental injuries. Dent Clin North Am2009; 53: 729. Google Scholar
    • 19 : Pediatric genitourinary injuries in the United States from 2002 to 2010. J Urol2012; 189: 288. Google Scholar
    • 20 : Severe blunt renal trauma: a 7-year retrospective review from a provincial trauma centre. Can J Urol2001; 8: 1372. Google Scholar
    • 21 : Profiling genitourinary injuries in United Arab Emirates. J Emerg Trauma Shock2011; 4: 342. Google Scholar
    • 22 : An analysis of urinary tract trauma in Scotland: Impact on management and resource needs. Surgeon2005; 3: 27. Google Scholar
    • 23 : Bicycle-related injuries. Am Fam Physician2001; 63: 2007. Google Scholar
    • 24 : Nonfatal bathroom injuries among persons aged ≥15 years—United States, 2008. J Safety Res2011; 42: 311. Google Scholar
    • 25 : Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc2011; 59: 148. Google Scholar
    • 26 : Stair negotiation in older people: a review. J Am Geriatr Soc2000; 48: 567. Google Scholar
    • 27 Analysis of Medicare Policy in Relation to Preventing Falls Among Older Adults. San Diego: American Occupational Therapy AssociationJune 7, 2010. Google Scholar
    • 28 : Clinical outcome analysis of male and female genital burn injuries: a 15-year experience at a level-1 burn center. Int J Urol2012; 19: 351. Google Scholar
    • 29 : Comparing 2 methods of emergent zipper release. Am J Emerg Med2005; 23: 480. Google Scholar