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Abstract
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NTRODUCTION AND OBJECTIVES:
Bicycling is a popular recreational and competitive sport with recognized risks. Genitourinary (GU) injuries associated with bicycling is unknown. We used the National Trauma Data Bank (NTDB) to evaluate the epidemiology of bicycling related GU injury.
METHODS:
The NTDB version 9.1 was searched by ecode for pedal cyclist who sustained GU injury as defined by ICD-9 code. Patient demographics, Injury Severity Score (ISS), surgical management, outcomes, and disposition were analyzed.
RESULTS:
A total of 635,013 trauma cases were evaluated, and 16,585 cases were identified as trauma as a result of bicycle injury. GU injuries were sustained in 358 (2%) patients; 86% were male, with a mean age of 29 years. The most commonly injured GU organ was the kidney (75%), followed by bladder and urethra (15%), and penis and scrotum (10%). These injuries resulted in nephrectomy (0.3%), cystorrhaphy (1.7%) scrotorrhaphy (4%), orchiorrhaphy (0.3%), and penorrhaphy (1.1%). Most commonly associated injuries included vertebral fracture (35%), pelvic fracture (25%), spleen (19%) and open head wound (15%). Mean ISS was 12.5, ICU and hospital length of stay was 5.4 and 7.6 days respectively, and mortality rate was 6.4%.
CONCLUSIONS:
GU injury is an infrequent occurrence with bicycle trauma, with kidneys being the most commonly injured organ. Bicyclists should be aware of the low but significant risk of GU injury especially young males who are principally at risk.
Language: en |