Trauma to the genitourinary structures, while rare in the civilian experience, has been a hallmark of American combat medicine dating back to the Civil War of 1861–1865. Due to advances in weaponry and armor countermeasures, the pattern of injury has shifted to complex wounds of the lower genitourinary structures. Penetrating blast wounds to the external genitals have been associated with improvised explosive devices encountered on the modern battlefield. Expeditious diagnosis and management of renal, ureteral, and bladder trauma is essential in reducing the morbidity and mortality of these injuries, while appropriate care of genital and urethral wounds is crucial to future urinary and sexual function.
KeywordsGenitourinary Testicular injury Perineal injury Renal trauma Bladder trauma External genital injury Wartime
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