Contemporary management of genitourinary injuries in a tertiary trauma centre in Nigeria


  • Chimaobi G. Ofoha Department of Surgery, Jos University Teaching Hospital, P. M. B. 2076, Jos, Nigeria
  • Samaila I. Shu'aibu Department of Surgery, Jos University Teaching Hospital, P. M. B. 2076, Jos, Nigeria
  • Victor E. Onowa Department of Surgery, Jos University Teaching Hospital, P. M. B. 2076, Jos, Nigeria
  • Zingkur Z. Galam Department of Surgery, Jos University Teaching Hospital, P. M. B. 2076, Jos, Nigeria



Bladder, Genitourinary injuries, Genitalia, Renal, Urethra


Background: The genitourinary system has been shown to be involved in 10% of patients presenting after trauma and is therefore a significant factor in trauma induced morbidity and mortality. It affects all age groups and both sexes. The aim of this study is to determine the aetiology, mechanism of injury and management of genitourinary injuries in a tertiary trauma centre.

Methods: This is a prospective study carried out at the Jos University Teaching Hospital between 2012 and 2017. All patients who presented at the A and E with genitourinary trauma were recruited into the study. Initial assessment involved taking an AMPLE history and resuscitation, using the Advanced Trauma Life Support (ATLS) protocol of the American College of Surgeons. Physical examination and investigation were carried out to localize and determine extent of injury. Investigations carried out were complete blood count, blood grouping, serum electrolyte, urea and creatinine and radiography where applicable. Surgical intervention was carried out where indicated.

Results: A total of 104 patients were involved in this study. The mean age was 32.14±15.5 years with a range of 3 to 75yrs. Median age was 28yrs. Eighty-nine (85.6%) were males while fifteen (14.4%) were females. The genitalia were the most affected in 34% (n=35) of the patients. Gunshot was the commonest mechanism of injury (37.5%, n=39). Operative and non-operative management were employed depending on mechanism and extent of injury.

Conclusions: Gunshot was the commonest cause of genitourinary trauma. These injuries require specialized attention for proper assessment and management.



Morey AF, Brandes S, Dugi DD, Armstrong JH, Breyer BN, Broghammer JA, et al. Urotrauma: AUA guideline. The Journal of urology. 2014;192(2):327-35.

Kuan JK, Kaufman R, Wright JL, Mock C, Nathens AB, Wessells H, Bulger E. Renal injury mechanisms of motor vehicle collisions: analysis of the crash injury research and engineering network data set. J Urology. 2007;178(3):935-40.

Smith TG, Wessells HB, Mack CD, Kaufman R, Bulger EM, Voelzke BB. Examination of the impact of airbags on renal injury using a national database. J Ame College Surg. 2010;211(3):355-60.

Hewakramani S, Reed KC. Genitourinary trauma. Emerg Med Clin North Am. 2011;29(3):501-18.

McGeady JB, Breyer BN. Current Epidemiology of Genitourinary Trauma. Urol Clin North Am. 2013;40(3): 323-34.

Sarvestani AS, Zamiri M. Assessment of genitourinary trauma in Southeastern Iran. Trauma monthly. 2013;18(3):113-6.

Barman MK, Maitra T, Biswas A, Mukherjee K, Venugopal PN. Epidemiology and Management of Urogenital Trauma: The 7-Years’ Experience at West Bengal, India. Inter J Public Health. 2014;1(2):66-9.

Bardenheuer M, Obertacke U, Waydhas C, Nast-Kolb D. Epidemiology of the severely injured patient. A prospective assessment of preclinical and clinical management. AG Polytrauma of DGU. Der Unfallchirurg. 2000;103(5):355-63.

Eke N. Urogenital tract trauma in Port Harcourt. Acta Chir Belg. 2001;101(5):240-2.

Paparel P, N’Diaye AM, Laumon B, Caillot JL, Perrin P, Ruffion A. The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43 000 victims. BJU International. 2006;97(2):338-41.

Salimi J, Nikoobakht MR, Zareei MR. Epidemiologic study of 284 patients with urogenital trauma in three trauma center in Tehran. Urology J. 2009;1(2):117-20.

Malay KB, Tapas M, Abhisheik B, Koel M, Pulamaghatta NV. Epidemiology and Management of Urogenital Trauma: The 7-Years’ Experience at West Bengal, India. Inter J Pub Health Management. 2014;1(2):66-9.

Bariol SV, Stewart GD, Smith RD, McKeown DW, Tolley DA. An analysis of urinary tract trauma in Scotland: Impact on management and resource needs. The Surgeon. 2005;3(1):27-30.

Hammad FT, Eid HO, Hefny AF, Abu-Zidan FM. Profiling genitourinary injuries in United Arab Emirates. J Emergencies, Trauma Shock. 2011;4(3):342-5.

Abu-Zidan FM, Al-Tawheed A, Ali YM. Urologic Injuries in the Gulf War. Int Urol Nephrol. 1999;31(5):577-83.

Ersay A, Akgun Y. Experience with renal gunshot injuries in a rural setting. Urology. 1999;54(6):972-5.

Hurtuk MS, Reed RL, Esposito TJ, Davis KA, Luchette FA. Trauma Surgeons Practice What They Preach: The NTDB Story on Solid Organ Injury Management. J Trauma Acute Care Surg. 2006;61(2):243-55.

Wessells H, Suh D, Porter JR. Renal injury and operative management in the United States: results of a population-based study. J Trauma. 2003;54(3):423-30.

Santucci RA, Fisher MB. The literature increasingly supports expectant (conservative) management of renal trauma-a systematic review. J Trauma. 2005;59(2):493-503.

Bruce LM, Croce MA, Santaniello JM, Miller PR, Lyden SP, Fabian TC. Blunt renal artery injury: incidence, diagnosis, and management. Am Surg. 2001;67(6):550-554.

Paquette EL. Genitourinary trauma at a combat support hospital during Operation Iraqi Freedom: the impact of body armor. J Urology. 2007;177(6):2196-9.

Siram SM, Gerald SZ, Greene WR, Hughes K, Oyetunji TA, Chrouser K, et al. Ureteral trauma: patterns and mechanisms of injury of an uncommon condition. Am J Surg. 2010;199(4):566-70.

Presti JC, Carroll PR, Mcaninch JW. Ureteral and Renal Pelvic Injuries from External Trauma: Diagnosis and Management. J Trauma. 1989;29(3):370-4.

Palmer LS, Rosenbaum RR, Gershbaum MD, Kreutzer ER. Penetrating ureteral trauma at an urban trauma center: 10-year experience. Urology. 1999;54(1):34-6.

Santucci RA, McAninch JW. Bladder injuries: evaluation and management. Braz Journal of Urol. 2000;26(4):408-14.

Kong JPL, Bultitude MF, Royce P, Gruen RL, Cato A, Corcoran NM. Lower Urinary Tract Injuries Following Blunt Trauma: A Review of Contemporary Management. Reviews in Urology. 2011;13(3):119-30.

Koraitim MM. Pelvic fracture urethral injuries:the unresolved controversy. J Urol. 1999;161:1433-41.

Tiguert R, Harb JF, Hurley PM, Gomes De Oliveira J, Castillo-Frontera RJ, Triest JA, et al. Management of shotgun injuries to the pelvis and lower genitourinary system. Urology. 2000;55(2):193-7.

Monga M, Hellstrom WJ. Testicular trauma. Adolesc Med. 1996;7(1):141-8.

Ofoha CG, Shu’aibu SI, Akpayak IC, Dakum NK, Ramyil VM. Male External Genital Injuries; Pattern of Presentation and Management at the Jos University Teaching Hospital. IOSR-JDMS. 2014;13(10):67-72.




How to Cite

Ofoha, C. G., Shu’aibu, S. I., Onowa, V. E., & Galam, Z. Z. (2018). Contemporary management of genitourinary injuries in a tertiary trauma centre in Nigeria. International Journal of Research in Medical Sciences, 6(4), 1134–1138.



Original Research Articles