{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T11:10:10Z","timestamp":1751368210925,"version":"3.41.0"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"7-8","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In recent conflicts, injuries to urogenital organs ranged from 5 to 7.2% of all combat-related injuries. Open surgery remains the main approach in combat settings, and in the French military, urgent surgical procedures are mostly performed by general surgeons with no specialization in urological care. To explore the specific needs in advanced surgery courses, we aimed to describe the epidemiology and management of genito-urinary traumas in recent conflicts in French Medical Treatment Facilities (MTFs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data were extracted from the OPEX\u00ae registry, which prospectively recorded surgical activity from 2001 to 2021. All patients treated in French Role 2 Enhanced or 3 MTFs requiring emergency surgery for urogenital injury were included. The mechanism of trauma, type of genito-urinary injury (GUI), and surgical management were reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>After screening, a total of 4,603 patients were admitted for emergency or delayed emergency surgery. Among them, 31 (0.67%) patients had urogenital injuries requiring immediate management. Most injuries were combat-related (77.4%), caused by gunshots (45%) and explosions (29%). Ten patients (32%) were hemodynamically unstable at initial management. Bladder and testicular injuries were the most common (12 [39%] and 8 [25.8%], respectively). Kidney injuries were rare but led to organ extirpation in 60% of the cases. Associated digestive injuries occurred in 45.2% of the cases. All procedures used the open approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study is the first to examine genito-urinary traumas in overseas operations during French army deployments. The results highlight the relatively low incidence of urological trauma, with most injuries involving the bladder and testis. Our findings highlight the importance of equipping military surgeons with the skills necessary to manage complex cases.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usaf031","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T15:25:41Z","timestamp":1738596341000},"page":"e1529-e1533","source":"Crossref","is-referenced-by-count":0,"title":["Genito-Urinary Trauma in the War Context: A Review of Two Decades of Experience From the French Armed Forces"],"prefix":"10.1093","volume":"190","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7081-2931","authenticated-orcid":false,"given":"Yohann","family":"Vincent","sequence":"first","affiliation":[{"name":"Department of Thoracic and Vascular Surgery, Sainte Anne Military Teaching Hospital , Toulon 83000,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Chiron","sequence":"additional","affiliation":[{"name":"Department of Urology, HIA Begin , Saint Mand\u00e9 94160,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Ag\u00fcero","sequence":"additional","affiliation":[{"name":"Department of Urology, Sainte Anne Military Teaching Hospital , Toulon 83000,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre-Henrie","family":"Savoie","sequence":"additional","affiliation":[{"name":"Department of Urology, Sainte Anne Military Teaching Hospital , Toulon 83000,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur","family":"Peyrottes","sequence":"additional","affiliation":[{"name":"Department of Urology, Saint-Louis Hospital, Universit\u00e9 Paris-Cit\u00e9 , Paris 75010,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thibaut Long","family":"Depaquit","sequence":"additional","affiliation":[{"name":"Department of Urology, Sainte Anne Military Teaching Hospital , Toulon 83000,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"article-title":"NATO Chapter 16: Medical Support","volume-title":"NATO Logistics Handbooks","year":"1997","key":"2025070106320878700_R1"},{"issue":"9","key":"2025070106320878700_R2","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1038\/nrurol.2013.148","article-title":"Management of combat-related urological trauma in the modern era","volume":"10","author":"Williams","year":"2013","journal-title":"Nat Rev Urol"},{"issue":"4","key":"2025070106320878700_R3","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1097\/01.ju.0000051220.77880.64","article-title":"Surgical management of urogenital injuries at a war hospital in Bosnia-Herzegovina, 1992\u20131995","volume":"169","author":"Hudolin","year":"2003","journal-title":"J Urol"},{"issue":"5","key":"2025070106320878700_R4","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1093\/milmed\/162.5.346","article-title":"Urogenital war injuries","volume":"162","author":"Marekovic","year":"1997","journal-title":"Mil Med"},{"issue":"4","key":"2025070106320878700_R5","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/S0022-5347(17)62390-5","article-title":"Vietnam experience with 252 urological war injuries","volume":"101","author":"Salvatierra","year":"1969","journal-title":"J Urol"},{"issue":"1","key":"2025070106320878700_R6","first-page":"S175","article-title":"Combat urologic trauma in US military overseas contingency operations","volume":"69","author":"Serkin","year":"2010","journal-title":"J Trauma:Inj, Infect, Crit Care"},{"issue":"6","key":"2025070106320878700_R7","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1097\/JU.0000000000003392","article-title":"A contemporary analysis of combat-related urological injuries: data from the Department of Defense Trauma Registry","volume":"209","author":"Kronstedt","year":"2023","journal-title":"J Urol"},{"issue":"1","key":"2025070106320878700_R8","article-title":"Characteristics of Traumatic Urogenital Injuries in Emergency Department; a 10-year cross-sectional study","volume":"7","author":"Javanmard","year":"2019","journal-title":"Arch Acad Emerg Med"},{"issue":"8","key":"2025070106320878700_R9","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1007\/s00345-023-04475-z","article-title":"Urology during Afghanistan mission: lessons learned and implications for the future","volume":"41","author":"Schoch","year":"2023","journal-title":"World J Urol"},{"key":"2025070106320878700_R10","doi-asserted-by":"publisher","first-page":"2087","DOI":"10.1007\/s00192-024-05870-9","article-title":"Prevalence of urogenital injury following road accident: a systematic review","volume":"35(11)","author":"Aletaha","year":"2024","journal-title":"Int Urogynecol J"},{"article-title":"Urological injuries in the civil war of Libya. 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