[Frequency of genitourinary trauma in motorcycle traffic accidents: scoping review].

Abstract

Objective: To describe the frequency of genitourinary trauma (GUT) caused by motorcycle traffic accidents.

Methodology: 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.

Results: 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%).

Conclusion: 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.