Cassell III AK, Manobah B. Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review. World J Crit Care Med 2021; 10(6): 377-389 [PMID: 34888163 DOI: 10.5492/wjccm.v10.i6.377]
Corresponding Author of This Article
Ayun K Cassell III, FICS, MSc, Lecturer, Surgeon, Department of Surgery, John F. Kennedy Medical Center, Sinkor, Monrovia 100010, Liberia. ayuncasselliii@gmail.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Nov 9, 2021; 10(6): 377-389 Published online Nov 9, 2021. doi: 10.5492/wjccm.v10.i6.377
Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review
Ayun K Cassell III, Burgess Manobah
Ayun K Cassell III, Burgess Manobah, Department of Surgery, John F. Kennedy Medical Center, Monrovia 100010, Liberia
Author contributions: All authors have made considerable contributions to the conception and design, acquisition of data, and analysis and interpretation of data, engaged in organizing the article or revising it analytically for relevant intellectual content, gave final consent of the version to be published and agreed to be responsible for all aspects of the work.
Conflict-of-interest statement: The authors declare no conflict of interest regarding this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ayun K Cassell III, FICS, MSc, Lecturer, Surgeon, Department of Surgery, John F. Kennedy Medical Center, Sinkor, Monrovia 100010, Liberia. ayuncasselliii@gmail.com
Received: February 1, 2021 Peer-review started: February 1, 2021 First decision: March 17, 2021 Revised: March 19, 2021 Accepted: August 20, 2021 Article in press: August 20, 2021 Published online: November 9, 2021 Processing time: 276 Days and 14.8 Hours
ARTICLE HIGHLIGHTS
Research background
The research tends to highlight the burden of genitourinary injury in the Sub-Saharan region and the differences in the injury pattern from developed nations.
Research motivation
Due to paucity of information and publication on urological injuries in the Sub-Saharan nations, it was essential to review and synthesize the available data in the region.
Research objectives
The manuscript has provided insight into management challenges of genitourinary trauma in developing nations of Africa and summarized the available international guidelines to identify progress and gaps in the region.
Research methods
This research is a systematic review in accordance with the PRISMA guideline.
Research results
Amongst urological emergencies, genitourinary trauma accounted for 6.6% of cases. Urethral injury and injury to the external genitalia accounted for most of the trauma burden as compared to renal injury in developed nations.
Research conclusions
A trauma registry is necessary to promote research and improvement in trauma care. Prompt repair of injuries to the external genitalia has shown satisfactory results.
Research perspectives
The manuscript has highlighted the paucity of data on genitourinary trauma in Sub-Saharan Africa. The research intends to project the need for investment in trauma care and to establish trauma registries around the continent.
