@article{ref1,
title="Experience of a tertiary-level urology center in the clinical urological events of rare and very rare incidence. II. Urological self-inflicted harms: 1. Unintentional patient's side-inflictor urological injuries",
journal="Current urology",
year="2019",
author="Gadelkareem, Rabea A. and Shahat, Ahmed A. and Abdelhafez, Mohamed F. and Reda, Ahmed and Khalil, Mahmoud",
volume="12",
number="2",
pages="74-80",
abstract="INTRODUCTION: Unintentional self-inflicted injuries mainly refer to those injuries which are inflicted by the patient himself with benign intentions. In urology, they may vary and result in significant morbidities. <br><br>PATIENTS AND METHODS: A retrospective search of our patients' data records for the reported cases of patient's side-inflictor urological injuries during the period July 2006 - June 2016 was made. Each case was studied for age, gender, primary diagnosis, injury inflictor, involved organ, motivating factor, mechanism, diagnosis, management, and final outcome. <br><br>RESULTS: Of more than 55,000 urological procedures, 26 patients (0.047%) were involved in unintentional patient's side-inflictor urological injuries. The age range was 8-76 years and included 23 males and 3 females. Fifteen patients (57.7%) had urological disorders before the injury. They could be differentiated into direct organ involvement injuries (53.8%) and catheter involvement injuries (46.2%). External male urogenital organs were involved in 69.3% of cases which were diagnosed on physical examination. The inflictor of the injury was the patient himself, a relative, and another patient in 73.1, 19.2, and 7.7% of cases, respectively. Motivating factors were relief of painful conditions (34.6%), psychiatric disorders (38.5%), and sexual purposes (27%). Final outcomes were short-term harm, long-term harm, and permanent disability in 50, 11.5, and 38.5% of cases, respectively. <br><br>CONCLUSION: Unintentional patient's side-inflictor urological injuries are very rare events and mainly involve the external male urogenital organs under different motivating stressors. They could be differen-tiated into direct organ and catheter manipulation injuries with variable final outcomes from mild short-term harms to permanent disabilities.<p /> <p>Language: en</p>",
language="en",
issn="1661-7649",
doi="10.1159/000489423",
url="http://dx.doi.org/10.1159/000489423"
}