Zhao H, Souders C, Masterson JM, et al. - This population-level study demonstrated that in the United States, the number of severe pelvic fracture urethral injuries (PFUIs) has decreased from 1998 to 2014, which coincides with the implementation and enforcement of seatbelt and airbag regulations. Given the rarity of these cases, collaborative efforts in research and teaching at tertiary care centers for reconstructive urology are needed.

• Researchers distinguished an estimated total of 6052 ± 347 males with PFUIs. In this study, 38.4 ± 0.5 years was the average age.

• The evidence showed that 9.1% ± 0.8% of patients died while hospitalized. It has been reported that the rate of PFUI significantly decreased from 532 patients in 1998 to 255 patients in 2014, in the time frame studied.

• A similar trend was distinguished by sensitivity analysis excluding patients with bladder repairs.

• The results showed a reduction in the annual rate of PFUI per 1000 pelvic fractures from 14.6 ± 1.6 in 1998 to 6.5 ± 0.9 in 2014 (p = 0.001).