Article Text

Blast injury to the perineum
  1. Davendra M Sharma1,
  2. C E Webster2,
  3. J Kirkman-Brown3,
  4. S Mossadegh4,
  5. T Whitbread5,
  6. on behalf of the Genitourinary Working Group (Trauma)
  1. 1Department of Urology, St Georges Hospital NHS Trust, UK
  2. 2Royal Centre for Defence Medicine, West Midlands Deanery, UK
  3. 3Birmingham Women's Hospital and School of Clinical and Experimental Medicine, University of Birmingham, UK
  4. 4Academic Department of Military Surgery and Trauma (ADMST), Royal Centre for Defence Medicine (RCDM), University of Birmingham Hospital Trust, Birmingham, UK
  5. 5Department of Surgery, Joint Medical Command, Portsmouth Hospitals NHS Trust, UK
  1. Correspondence to
    Wg Cdr. Davendra M Sharma, Department of Urology, St Georges Hospital NHS Trust and the Genitourinary Working Group (Trauma), UK; dsharma1{at}


Recent military operations have resulted in a small but significant number of military personnel suffering severe perineal injuries. In association with lower limb amputation and pelvic fracture, this complex is described as the ‘signature injury’ of the current conflict in Afghanistan. There are significant consequences of surviving severe perineal injury but the experience of managing these casualties is limited. This article gives an overview of the processes developed to meet these challenges and introduces a series of articles which examine the subject in finer detail.

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