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Prevalence of Urogenital Injury following Road Accident: A Systematic Review

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Abstract

Introduction and Hypothesis

Trauma complications have been one of the most serious public health concerns worldwide. In most reports, urogenital injuries (UGIs) are seen in approximately 10% of adult traumatic patients and less than 3% of children with multiple/severe trauma to the abdomen or pelvis. Traffic accidents are the most common cause of UGIs. The purpose of this study is to systematically determine the prevalence and types of UGIs after car accidents.

Methods

The search strategy was aimed at finding relevant studies in October 2023. No restrictions on language or date were applied. The following criteria were considered eligibility criteria: reporting at least one epidemiological aspect of UGIs in people with road traffic injury (RTI) and a separate epidemiological analysis of RTIs in UGI (we also included those articles that pointed out all RTIs but separately mentioned UGIs). Two experts assessed the reporting quality of articles using standardized critical appraisal instruments from the Joanna Briggs Institute. Statistical analysis for this study was conducted using the CMA statistical software version 3.2.0.

Results

A total of 1,466,024 cases following RTIs through 107 studies were included in our review. Of these, 29 studies were related to children (20,036), and the others reported RTIs in adults (1,445,988). The total prevalence was 4.7%, and car accidents were responsible in 36 studies, followed by motorcycle accidents in 25, bicycles in 17 studies, and automobile–pedestrian collisions in 23 related studies. In subgroup analysis based on the damaged organ, the rate of bladder injury was 3.5%. This rate was 5.3% for kidneys.

Conclusion

This systematic review and meta-analysis found that the prevalence of UGI following RTIs was 4.7%, with car accidents being the most common cause. UGIs were more prevalent in adults than in children, and bladder and kidney injuries were the most commonly reported types. The prevalence of UGI varied by country and study design.

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Data Availability

The datasets analyzed during the current study are available upon request with no restriction.

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Acknowledgment

The authors would like to thank the Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran, for their support of the current study (Grant No. 68831).

Author information

Authors and Affiliations

  1. Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

    Reza Aletaha, Amin Abbasi & Hamidreza Ashayeri

  2. UNC Injury Prevention Research Center, Epidemiology Department, Gillings school of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Raana Zakeri

  3. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

    Homayoun Sadeghi-Bazargani

  4. Research Center for Evidence-Based Medicine, Iranian EBM Centre: JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi Street, Golgasht Ave, Tabriz, 5166/15731, East Azerbaijan, Iran

    Kavous Shahsavrinia, Hanieh Salehi-Pourmehr & Sakineh Hajebrahimi

  5. Department of Urology, Faculty of Medicine, Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Imam Reza Teaching Hospital, Attar-e-Neishabouri sqr., Tabriz, 51666, Iran

    Ehsan Sepehran & Sakineh Hajebrahimi

  6. Department of Orthopedy, Tabriz University of Medical Sciences, Tabriz, Iran

    Amirmohammad Navali

  7. Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

    Hanieh Salehi-Pourmehr

Authors
  1. Reza Aletaha
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Contributions

R.A.: data extraction, manuscript writing; A.A.: data extraction, manuscript writing; H.A.: data extraction, manuscript writing; R.Z.: search, data extraction; H.S.-B.: data extraction; K.S.: methodology, analysis; E.S.: analysis, review, and editing final draft; A.N.: search, data extraction; H.S.-P.: methodology, analysis; S.H.: conceptualization, analysis.

Corresponding authors

Correspondence to Hanieh Salehi-Pourmehr or Sakineh Hajebrahimi.

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Ethical Consideration

The regional ethics committee of Tabriz University of Medical Sciences approved the proposal (IR.TBZMED.REC. 1400.965).

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This manuscript has been approved for publication by all authors.

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Supplementary Information

ESM 1

Prevalence of urogenital injury (PNG 60.0 mb)

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ESM 2

Prevalence of urogenital injuries based on the organ damaged (PNG 60.0 mb)

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ESM 3

Prevalence of urogenital injuries based on location (PNG 60.0 mb)

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ESM 4

Prevalence of urogenital injury based on injury mechanism (PNG 60.0 mb)

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Aletaha, R., Abbasi, A., Ashayeri, H. et al. Prevalence of Urogenital Injury following Road Accident: A Systematic Review. Int Urogynecol J (2024). https://doi.org/10.1007/s00192-024-05870-9

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