Introduction: Unintentional self-inflicted injuries mainly refer
to those injuries which are inflicted by the patient himself
with benign intentions. In urology, they may vary and
result in significant morbidities. Patients and Methods: A
retrospective search of our patients’ data records for the reported
cases of patient’s side-inflictor urological injuries during
the period July 2006 – June 2016 was made. Each case
was studied for age, gender, primary diagnosis, injury inflictor,
involved organ, motivating factor, mechanism, diagnosis,
management, and final outcome. Results: Of more than
55,000 urological procedures, 26 patients (0.047%) were
involved in unintentional patient’s side-inflictor urological
injuries. The age range was 8–76 years and included 23
Rabea A. Gadelkareem
Elgamaa Street, Faculty of Medicine, Assiut University
EG–71515 Assiut (Egypt)
E-Mail dr.rabeagad@yahoo.com
Experience of a Tertiary-Level Urology Center in
the Clinical Urological Events of Rare and Very
Rare Incidence. II. Urological Self-Inflicted Harms:
1. Unintentional Patient’s Side-Inflictor Urological
Injuries
Rabea A. Gadelkareem Ahmed A. Shahat Mohamed F. Abdelhafez
Ahmed Reda Mahmoud Khalil
Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt
Original Paper
Received: November 9, 2017
Accepted: January 10, 2018
Published online: March 8, 2019
males and 3 females. Fifteen patients (57.7%) had urological
disorders before the injury. They could be differentiated into
direct organ involvement injuries (53.8%) and catheter involvement
injuries (46.2%). External male urogenital organs
were involved in 69.3% of cases which were diagnosed on
physical examination. The inflictor of the injury was the patient
himself, a relative, and another patient in 73.1, 19.2, and
7.7% of cases, respectively. Motivating factors were relief of
painful conditions (34.6%), psychiatric disorders (38.5%),
and sexual purposes (27%). Final outcomes were short-term
harm, long-term harm, and permanent disability in 50, 11.5,
and 38.5% of cases, respectively. Conclusion: Unintentional
patient’s side-inflictor urological injuries are very rare events
and mainly involve the external male urogenital organs under
different motivating stressors. They could be differentiated
into direct organ and catheter manipulation injuries
with variable final outcomes from mild short-term harms to
permanent disabilities.