Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Urology

Bibliography: p. 65-73.

Objectives: To investigate the mechanism of injury, wounds{u2019} pattern and surgical management and outcomes of urethral and penile injures caused by firearm and explosion during the present war in Yemen. Methods: This prospective descriptive study was conducted in the Department of Urology at Kars El Ainy hospitals. We included 46 Yemeni military victims who sustained penile and/or urethral injuries during the existing Yemeni war. These patients received primary surgical care in Yemen and referred for further definitive treatment in Egypt from October 2018 to October 2020. Besides patients{u2019} demographics, the cause of injury, site and severity of injuries and associated injuries were addressed together with the management, postoperative complications, and outcomes for these injuries. Results: 46 males with war-related penile and urethral injuries were enrolled in the study. The median age of the included subjects was 28 years and ranged from 18-50 years. More than half of participants [27 (58.7%)] endured posterior urethral injuries; 11 (23.9%) and 5 (10.9%) of whom had PUDD and associated urethra-rectal fistula, respectively. The remaining posterior urethral injuries were distributed as membranous 5 (10.9%), Membrano-prostatic 4 (8.6%) and bulbomembranous 2 (4.3%). 10 (21.7%) patients sustained anterior urethral injuries. Five of whom (10.9%) had bulbar urethral injuries and 5 (10.9%) had combined penile tissue and anterior urethral injuries. Isolated penile injuries represent 9 (19.6%), 4 of them had corpus cavernosum, glans injuries 3, complete avulsion 2. Injuries to the penis and anterior urethra were inflicted by Improvised Explosive Devices (IEDs) in 90% and 67%, respectively, while injuries to the posterior urethra were inflicted by firearms in 85%. During the 6-12-month follow-up period, only 4 cases (8.7%) demonstrated recurrent strictures which were doomed to be a failed procedure and were thus re-operated. Two additional patients (4.3%) developed ring strictures that was also repaired in a second intervention

للتحقيق في آلية الإصابة ونمط الجروح والإدارة الجراحية ونتائج إصابات مجرى البول والقضيب بسبب السلاح الناري والانفجار في الوقت الحاضر حرب اليمن. الطرق: أجريت هذه الدراسة الوصفية المرتقبة في قسم جراحة المسالك البولية في كارس مستشفيات العينى. قمنا بتضمين 46 ضحية عسكرية يمنية أصيبوا بقضيب و / أو مجرى البول إصابات خلال الحرب اليمنية القائمة. تلقى هؤلاء المرضى رعاية جراحية أولية في اليمن والمشار إليها لمزيد من العلاج النهائي في مصر من أكتوبر 2018 إلى أكتوبر 2020. إلى جانب ذلك التركيبة السكانية للمرضى وسبب الإصابة وموقع وشدة الإصابات والإصابات المرتبطة بها تم تناولها جنبًا إلى جنب مع الإدارة ومضاعفات ما بعد الجراحة والنتائج الخاصة بها إصابات.

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Text in English and abstract in Arabic & English.