caa a22 4500 465752926 CHVBK 20180323111838.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF01576348 doi (NATIONALLICENCE)springer-10.1007/BF01576348 Overview of the West German Urological Multicenter Study Traumatology [Elektronische Daten] [R. Zink, V. Müller-Mattheis, R. Oberneder, R. Friedrich, W. Waldthausen, K. Dieckmann, K. Utsch, N. Jaeger, K. Dreikorn, P. Carl, C. Grohmann, P. Hanke, U. Jonas, R. Mayer, W. Merkle, H. Muck, R. Strohmenger, J. Schenck, H. Bülow] Summary: A total of 385 patients (83% men, 52% aged 16-30) with urogenital (UG) trauma were treated in 19 urological clinics between April 1984 and December 1986. In all, 41% of the accidents were due to traffic; 13% to work and sports each; 8% to sexual activities; and 6% to violence. The distribution of injury severity included 40% light, 21% moderate and 39% severe. Of 427 UG lesions, 27% were combined with intraabdominal and 24% with pelvic injuries. The kidneys were involved in 51% of cases and the bladder, urethra, penis and scrotum, including its content, in ca. 10% each. Of the renal traumas, 49% were ruptures; 48% contusions; and 7% hilar lesions,a nd in 6% the complete destruction of the organ occurred. In all, 76% of these traumas were treated conservatively, whereas 8% each required reconstruction or nephrectomy. Amongst the urethral ruptures, 46% were complete; 39% partial posterior; and 11% ruptures of the penile urethra. In 43% of cases the treatment was conservative and in 41% a primary reconstruction was carried out. All intraperitoneal (43%) and 2/3 of the extraperitoneal bladder ruptures (57%) were operated on. Gross hematuria was found in 73% of the renal, 83% of the vesical and 73% of the urethral injuries. Microhematuria occurred in 24%, 9% and 13% of cases, whereas no hematuria was found in 3%, 5% and 13% of the kidney, bladder and urethral injuries, respectively. The injury-relevant sensitivity of the imaging methods was computed to be 95% for cystograms, 91% for urethrograms and 83% for angiograms. When used to screen trauma patients, the sensitivity proved to be 69% for the CT scan, 55% for the intravenous pyelogram (IVP) and 54% for sonography. Overall, 37% of 161 complications involved the UG tract, followed by neurological complications, those due to the operation or treatment, to infections or to organ failure. In all, 11% of patients remained in the hospital for only 1 day; 50% for up to 13 days; 20% for 14-60 days; and 17% for >60 days. Springer-Verlag, 1990 Zink R. München-Grosshadern aut Müller-Mattheis V. Urologische Universitätsklinik, Moorenstrasse 5, D-4000, Düsseldorf, Federal Republic of Germany aut Oberneder R. Würzburg aut Friedrich R. Aachen aut Waldthausen W. Berlin-Charlottenburg aut Dieckmann K. Berlin-Steglitz aut Utsch K. Bielefeld aut Jaeger N. Bonn aut Dreikorn K. Bremen aut Carl P. Deggendorf aut Grohmann C. Erlangen aut Hanke P. Frankfurt aut Jonas U. Hannover aut Mayer R. Kempten aut Merkle W. Krefeld aut Muck H. Marktredwitz aut Strohmenger R. Osnabrück aut Schenck J. Rosenheim aut Bülow H. Schweinfurt aut World Journal of Urology Springer-Verlag 7/4(1990-12-01), 227-234 0724-4983 7:4<227 1990 7 345 https://doi.org/10.1007/BF01576348 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01576348 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zink R. München-Grosshadern aut NATIONALLICENCE 700 1- Müller-Mattheis V. Urologische Universitätsklinik, Moorenstrasse 5, D-4000, Düsseldorf, Federal Republic of Germany aut NATIONALLICENCE 700 1- Oberneder R. Würzburg aut NATIONALLICENCE 700 1- Friedrich R. Aachen aut NATIONALLICENCE 700 1- Waldthausen W. Berlin-Charlottenburg aut NATIONALLICENCE 700 1- Dieckmann K. Berlin-Steglitz aut NATIONALLICENCE 700 1- Utsch K. Bielefeld aut NATIONALLICENCE 700 1- Jaeger N. Bonn aut NATIONALLICENCE 700 1- Dreikorn K. Bremen aut NATIONALLICENCE 700 1- Carl P. Deggendorf aut NATIONALLICENCE 700 1- Grohmann C. Erlangen aut NATIONALLICENCE 700 1- Hanke P. Frankfurt aut NATIONALLICENCE 700 1- Jonas U. Hannover aut NATIONALLICENCE 700 1- Mayer R. Kempten aut NATIONALLICENCE 700 1- Merkle W. Krefeld aut NATIONALLICENCE 700 1- Muck H. Marktredwitz aut NATIONALLICENCE 700 1- Strohmenger R. Osnabrück aut NATIONALLICENCE 700 1- Schenck J. Rosenheim aut NATIONALLICENCE 700 1- Bülow H. Schweinfurt aut NATIONALLICENCE 773 0- World Journal of Urology Springer-Verlag 7/4(1990-12-01), 227-234 0724-4983 7:4<227 1990 7 345 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer