TY  - JOUR
PY  - 2011//
TI  - Bicycle-related Genitourinary Injuries
JO  - Urology
A1  - Bjurlin, Marc A.
A1  - Zhao, Lee C.
A1  - Goble, Sandra M.
A1  - Hollowell, Courtney M. P.
SP  - 1187
EP  - 1190
VL  - 78
IS  - 5
N2  - OBJECTIVE: To use the National Trauma Data Bank (NTDB) to evaluate bicycling-related genitourinary (GU) injury. Bicycling is a popular recreational and competitive sport with recognized risks. GU injuries associated with bicycling is unknown. METHODS: Patient cases were extracted from the NTDB, version 9.1, using the mechanism of injury Ecode for pedal cyclist and ICD-9 codes for GU injuries. The type of GU injuries, patient demographics, Injury Severity Score, surgical management, outcomes, and disposition were analyzed. RESULTS: Of 635,013 trauma cases evaluated, 16,585 were identified as trauma because 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 (0.4%), cystorrhaphy (11.3%), scrotorrhaphy (42.1%), testicular repair (3.1%), and penile repair (7.5%). Most common associated injuries included vertebral fracture (35%), pelvic fracture (25%), spleen (19%), and open head wound (15%). Patients who sustained a vertebral fracture commonly sustained a concomitant bladder and urethra (37.7%) or a renal injury (22.6%). CONCLUSION: GU injury is an infrequent occurrence with bicycle trauma, occurring in 2% of bicycle injuries, with kidneys being the most commonly injured GU organ. Physicians treating bicyclists who sustained a vertebral fracture should be aware of a possible concomitant renal or bladder injury. Young males appear to be principally at risk for GU injury.<p />  <p>Language: en</p>
LA  - en
SN  - 0090-4295
UR  - http://dx.doi.org/10.1016/j.urology.2011.07.1386
ID  - ref1
ER  -