ABSTRACT
To analyze the frequency and the etiology of trauma to the genito-urinary tract as well as the types of lesions encountered This is a retrospective study carried out on 38 patients with genito-urinary trauma seen at Cocody University Hospital, Abidjan, Ivory Coast, between April 2000 and December 2006. The parameters studied were: age, sex, profession, etiology of the trauma, the type of lesions observed and their surgical management. Out of 16,425 trauma patients, 38 [0.2%] had genito-urinary lesions. Thirty-seven of them were males and one female with a mean age of 26.9 [range 5 to 63] years. The majority of the patients were victims of car accidents [42.1%, 16 cases], while 29% [11 cases] had a work accident, and 23.7% [9 cases] were victims of civil violence [physical assaults]. In 81.6% of the cases, the urethra and the bladder were affected, while renal lesions and trauma to the external genital organs were found in7.9% and 10.5% of the cases, respectively. Twenty-five patients [65.8%] had associated pelvic fracture. The trauma was direct in all patients with blunt trauma in 29 [76.3%] and penetrating trauma in 9 [23.7%]. Surgical management consisted of end-to-end urethrorrhapy in the majority of patients [52.6%]. Genito-urinary trauma is rare and is more likely to affect young men. It is primarily caused by car and work accidents. Such trauma is usually associated with serious lesions