Outcomes of Genitourinary Injuries in Recent Veterans

by U.S. Medicine

October 14, 2018

FORT SAM HOUSTON, TX—The diagnosis and coordination of care for veterans with genitourinary injury can be improved, a new study found.

The report in Military Medicine pointed out that, in recent U.S. military engagements, unprecedented numbers of servicemembers have survived with GU injury, but few studies have focused on outcomes of these injuries.1

The U.S. Army Institute of Surgical Research-led study focused on Outcomes of combat-related GU injury in wounded U.S. male veterans of Operations Enduring/Iraqi Freedom and New Dawn receiving care at the VHA.

The researchers linked DoD Trauma Registry data for male troops injured in theater with VHA electronic health records for veterans who received VHA care at least once from October 2001 through September 2011. Used to identify GU injuries, severity and outcomes were Abbreviated Injury Scale scores and International Classification of Diseases-9th Revision-Clinical Modification codes, and that cohort was compared to veterans without GU injury.

Out of 12,923 injured veterans found in both databases, 4.6% had a GU injury diagnosis in the DoDTR, and 3% had a GU injury diagnosis in VHA EHRs. About one-third of the GU injuries were considered severe.

Results indicated that the prevalence of both urinary symptoms (6.3% vs. 3.1%; p < 0.0001) and sexual dysfunction (13.5% vs. 7.1%; p < 0.0001) was higher among those with vs. without GU injury. Researchers also determined that traumatic brain injury prevalence was also higher (48.0 % vs. 40.0%; p < 0.0001), although post-traumatic stress disorder prevalence was similar between the two groups (51.6% vs. 50.6%).

“We identified an opportunity to improve the diagnosis and coordination of care for veterans with GU injury,” study authors concluded. “Routine screening and better documentation upon transfer from DoD to VHA care should be implemented to alert multi-specialty care teams to provide care for the urinary, sexual, fertility, and psychological health problems of these patients.”

1. Nnamani NS, Pugh MJ, Amuan ME, Eapen BC, Hudak SJ, Liss MA, Orman JA. Outcomes of Genitourinary Injury in U.S. Iraq and Afghanistan War Veterans Receiving Care from the Veterans Health Administration. Mil Med. 2018 Aug 14. doi: 10.1093/milmed/usy196. [Epub ahead of print] PubMed PMID: 30124961.

Comments are closed here.

Related Articles

HIV Patients Had Lower PC Incidence in VA Study

NEW YORK—Non-AIDS defining cancers are increasingly important contributors to health outcomes for aging persons with HIV (PWH), according to a recent conference presentation which also pointed out that, although prostate cancer is prevalent in aging... View Article

VA Study Finds No Link Between ADT, Dementia

LA JOLLA, CA—Research has been conflicting on whether androgen deprivation therapy is related to dementia. A research letter in JAMA Oncology pointed out that two studies reported a strong statistically significant association between ADT and... View Article

U.S. Medicine Recommends

More From urology


Antibiotics Overprescribed After Common Urological Procedures at VHA

Antibiotics appear to be routinely overprescribed for routine urological procedures within the VHA, according to a new study.


E. Coli in Poultry Linked to UTI Outbreaks

Gastrointestinal upset isn't the only risk from a strain of Escherichia coli (E. coli) found in retail chicken and turkey products.


Most Patients Have Issues With In-Dwelling Catheters

Patients have more issues than healthcare providers might realize with complications from indwelling urethral catheters, including both infectious and non-infectious problems.


UTI reduction initiative has little effect at VHA nursing homes

In community-based, long-term care facilities, collaborative programs have been successful in reducing catheter-associated urinary tract infection (CAUTI) rates.


Wounded Warrior receives first penile/scrotum transplant

Genitourinary injuries were one of the signal wounds from the wars in Iraq and Afghanistan.

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up