Urological injuries in major pelvic trauma; the experience of a national major trauma centre. An eight patient case series.

INTRODUCTION: Urological injury is a well-recognised complication of high energy pelvic trauma. Clinical presentation varies and should thus be considered in all pelvic fracture presentations. Careful management under the care of a service equipped to manage trauma associated urological injuries offers the best clinical outcomes for patients.

METHODS: A retrospective review of all significant urological injuries in major pelvic trauma presentations to a newly designated national major trauma centre in the Republic of Ireland.

RESULTS: Eight cases were identified for inclusion in the series. Clinical course, treatment options and functional outcome varied depending on the nature and degree of injury. Four cases required definitive surgical intervention.

DISCUSSION: Pelvic trauma is a significant risk factor for urological injury. In high energy events with signs of urological injury, a high index of suspicion should always be adopted. These injuries may require the expertise of a limited subspeciality service placing significant demand on day to day service provision. Adequate resource provision and service support is essential to optimise patient care.