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<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Introduction:</span></strong><span style="color: black;"> We report the incidence, distribution, etiology, and outcome of the urogenital trauma in 8 major cities of Iran according to the database of national trauma project.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Materials and Methods</span></strong><span style="color: black;">: Between 2000 and 2004, we prospectively collected the data of all the traumatic patients hospitalized for more than 24 hours in 8 cities (Tehran, Mashad, Ahwaz, Shiraz, Tabriz, Qom, Kermanshah, and Babol). We analysed the data taken from 17 753 trauma admissions. Patients with sustained urogenital traumas were identified and studied. </span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Results:</strong> A total of 175 patients <span style="color: black;">(0.98%) </span>had injuries to the urogenital system. <span style="color: black;">Male to female ratio was 4. The patients’ mean age was 25 ± 16 years (range, 2 to 80 years). Of 175 patients, 159 (90.9%) had blunt trauma and 16 (9.1%) had penetrating trauma. Road traffic accident was the most common cause of trauma (65.1%). The most common injured organs were the kidney in 61.1% and the bladder in 13.7%. One hundred and forty-two patients (81.1%) had associated intra-abdominal injuries and 129 (73.7%) had other accompanying injuries. Sixty (34.2%) patients required surgical intervention. Nine patients (<span style="mso-bidi-font-style: italic;">5.2%) </span>died due to the severity of the injuries. <span style="mso-bidi-font-style: italic;">All patients who died had severe injuries (</span></span>Injury Severity Score<span style="color: black;"> >12).</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Conclusion: </span></strong><span style="color: black;">In Iran, blunt traumas including road traffic accidents are the main cause of urogenital traumas. The majority of the patients with urogenital trauma have multiple injuries and require a multidisciplinary approach.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="color: black;"><span style="font-size: small; font-family: Times New Roman;"> </span></span></p>