Castañeda-Millán Gabriela, Hernández-Aparicio David A, Castañeda-Millán David, Eslava-Schmalbach Javier H
GC: MD. Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.
DH: MD. Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.
Rev Salud Publica (Bogota). 2024 Jul 1;26(4):115133. doi: 10.15446/rsap.V26n4.115133. eCollection 2024 Aug.
To describe the frequency of genitourinary trauma (GUT) caused by motorcycle traffic accidents.
Scoping review conducted according to the methodology proposed by Arksey and O'Malley and the Prisma extension for scoping reviews. Searches were conducted in PubMed and Embase. All studies that described the frequency of GUT in adults (>18 years) as a result of motorcycle traffic accidents were included. Two independent reviewers were responsible for the selection based on titles and abstracts and subsequently evaluated the eligibility and quality of the studies using full-text articles.
The frequency of GUT was higher in men, ranging from 94.5% to 96.5%, compared to 3.4% to 5.5% in women. Drivers were more affected than passengers, with a proportion of 96.4%. The testicles were the primary organs affected, with reported trauma frequencies ranging from 0.4% to 41%, followed by the kidney (2.4% to 35%), scrotum (0% to 14%), penis (0% to 13%), bladder (0.4% to 4%), ureter (0% to 0.02%), urethra (0.2% to 2%), vagina (1%), and vulva (1%).
The frequency of gut in patients involved in motorcycle accidents is high. It primarily affects young male motorcycle drivers; the most affected organs are the male external genitalia, kidneys, and bladder. However, in women, it is a significant cause of non-obstetric gut.
描述摩托车交通事故导致的泌尿生殖系统创伤（GUT）的发生率。
根据Arksey和O'Malley提出的方法以及范围综述的Prisma扩展进行范围综述。在PubMed和Embase中进行检索。纳入所有描述因摩托车交通事故导致的成人（>18岁）GUT发生率的研究。两名独立评审员负责根据标题和摘要进行筛选，随后使用全文文章评估研究的 eligibility 和质量。
GUT的发生率男性更高，范围为94.5%至96.5%，而女性为3.4%至5.5%。驾驶员比乘客受影响更大，比例为96.4%。睾丸是主要受影响的器官，报告的创伤发生率范围为0.4%至41%，其次是肾脏（2.4%至35%）、阴囊（0%至14%）、阴茎（0%至13%）、膀胱（0.4%至4%）、输尿管（0%至0.02%）、尿道（0.2%至2%）、阴道（1%）和外阴（1%）。
涉及摩托车事故的患者中GUT的发生率很高。它主要影响年轻男性摩托车驾驶员；受影响最严重的器官是男性外生殖器、肾脏和膀胱。然而，在女性中，它是非产科GUT的一个重要原因。
