[Urinary tract XXXX : anatomo-lesional, etiological and clinical considerations].

@entity1 @entity8 @entity1494 @entity3511 @entity130
Urinary tract injuries are rare lesions and account for about 3%, of all injuries and 10% of @entity3511 . The aim of this study is to review retrospectively a series of @entity1 with urinary tract injuries treated in a general surgery clinic. MATERIAL AND METHODS: A series of 41 consecutive @entity1 with urinary tract @entity130 who hospitalized in Surgery Clinic of "St. John" Hospital of Ia  i during a 7 years period (January 2002 - December 2008). The main analyzed variable was age, mechanism of injury, anatomical site of injury, associated injuries, and methods of treatment, morbidity and mortality. RESULTS: Urinary tract injuries accounted for 3.2% of all @entity3511 . Adults males were more affected with 90.2% of cases. Traffic road accident and falls represented over 50% of cases. @entity8 were present in 73.7% of cases, and associated lesions were present in all cases. Conservative treatment was applied for 24 @entity1 (58.5%), nephrectomy (total or partial) was performed in 9 cases, suture of the urethra 1 case, suture of the urinary bladder 5 cases and cystostomy in 3 cases. Conservative treatment failed in 24 cases (58.5%), @entity1494 were present in 8 @entity1 (19.5%) and one @entity1 died due to associated lesions. CONCLUSIONS: Urinary tract injuries are rarely encountered in @entity130 settings, to a high index of suspicion is necessary to establish the diagnosis. @entity8 is the most fervently lesions and conservative treatment represent feasible solution for these.
