No small slam: increasing incidents of genitourinary injury from toilets and toilet seats. (14th June 2013)

• Record Type: Journal Article
• Authors: Glass, Allison S.; Bagga, Herman S.; Tasian, Gregory E.; McGeady, James B.; McCulloch, Charles E.; Blaschko, Sarah D.; McAninch, Jack W.; Breyer, Benjamin N.
• Is Part Of: BJU international. Volume 112:Number 3(2013:Aug.)
• Page Start: 398
• Page End: 403
• Publication Date: 2013-06-14
• Subjects: Genitourinary organs -- Diseases -- Periodicals; Genitourinary organs -- Surgery -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1111/bju.12173
• Languages: English
• ISSNs: 1464-4096

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="bju12173-sec-0001" sec-type="section"> <title>Objective</title> <p> <list id="bju12173-list-0001" list-type="bullet"> <list-item> <p>To describe the epidemiology of genitourinary (GU) injury from toilets that present to USA Emergency rooms (ERs).</p> </list-item> </list> </p> </sec> <sec id="bju12173-sec-0002" sec-type="section"> <title>Materials and Methods</title> <p> <list id="bju12173-list-0002" list-type="bullet"> <list-item> <p>The National Electronic Injury Surveillance System (NEISS) is a stratified probability sample of hospital ER visits for USA consumer product‐related injuries.</p> </list-item> <list-item> <p>NEISS was used to estimate total toilet‐ and toilet seat‐related GU injury for the years 2002–2010, as well as to describe demographics and injury characteristics.</p> </list-item> <list-item> <p>Analyses were performed using strata, primary sampling units and sample weights to accommodate the complex sample survey design.</p> </list-item> <list-item> <p>Data are reported as national estimates with 95% confidence intervals (CIs) provided.</p> </list-item> </list> </p> </sec> <sec id="bju12173-sec-0003" sec-type="section"> <title>Results</title> <p> <list id="bju12173-list-0003" list-type="bullet"> <list-item> <p>In all, 13 175 (95% CI 10 185–16 165) GU injuries related to toilets presented to ERs during 2002–2010.</p> </list-item> <list-item> <p>The most common mechanism involved crush from accidental fall of toilet seat, described in 9011 (68.4%, 95% CI 6907–11 115) cases.</p> </list-item> <list-item> <p>Most crush injuries were isolated to the penis (98.1%). Of crush injuries, 81.7% occurred in children aged 2–3 years and 99.3% occurred in the home. Crush injuries increased over the period 2002–2010 (<italic>P</italic> = 0.017) by ≈100 per year, ending with an estimated 1707 (95% CI 1011–2402) by 2010.</p> </list-item> <list-item> <p>Most patients who sustained toilet‐ and toilet seat‐related GU injuries were treated in the ER and then discharged.</p> </list-item> </list> </p> </sec> <sec id="bju12173-sec-0004" sec-type="section"> <title>Conclusion</title> <p> <list id="bju12173-list-0004" list-type="bullet"> <list-item> <p>While penile crush injury related to a toilet seat is an uncommon mechanism of urological injury in children, the number of incidents appears to be rising.</p> </list-item> <list-item> <p>These findings support educational efforts and interventions, such as exchange of heavy toilet seats with slow‐close toilet seat technology.</p> </list-item> </list> </p> </sec> </abstract>