ÜROLOJÝK YARALANMALAR

1991-1995 yýllarý arasýnda Ýstanbul Üniversitesi Ýstanbul Týp Fakültesi Ýlk ve Acil Yardým Anabilim Dalý'na baþvuran ve opere edilen 84 ürolojik yaralanma olgusu retrospektif olarak incelenmiþtir. Olgularýn ilk baþvuru muayenesinde 57 (% 68) hastada hematüri saptanmýþtýr. En sýk yaralanan organ böbrek (%48), en az yaralanan organ ise ürelerdir (%1). Olgularýn tanýsýnda ÝVP, USG, BT, asendan sistografi taný aracý olarak kullanýlmýþtýr. 29(%35) hastaya nefrektomi, 8 (%10) hastaya nefrorafi, 3 (%4) hastaya parsiyel nefrektomi, 17 (%20) hastaya sistotomi + sistorafi + sistostomi, 1'er (%1) hastaya da üretero-üreterostomi ve corpus cavernozum onarýmý uygulanmýþtýr. Multitravmalý hastada hematüri iyi deðerlendirilmelidir.

UROLOGIC INJURIES

Approach to Urologic Traumas: Analysis of 84 urological trauma patients who presented to and were operated at Istanbul University, Istanbul Medical Faculty Emergency Department between 1991-1995. Hematuria was the first presenting symptom in 57 (%68) of the patients. Diagnosis was made preoperatively in 42 (50%) of the patients using intravenous pyelography, Ultrasonography, Computerized Tomography. Nephrectomy was performed for 29 (35%) patients, nephroraphy for 8 (10%) patients, partial nephrectomy for 3 (4%) patients, cystotomy + cystomphy + cystostomy (20%) for 17 patients, uretero-ureterostomy for 1 (1%) patient, and corpus cavernosus repair vas performed for 1 patient (1%). Hematuria should be well evaluated in patients with multitraumas.