Genitourinary trauma

Cutinha, Patrick; Venugopal, Suresh; Salim, Ferekh

doi:10.1016/j.mpsur.2013.04.016

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…Incomplete staging is a relative indication to surgical exploration [133, 156, 159–161]. Non-resolving urinomas are common complications of NOM requiring ureteric stenting or percutaneous drainage [116, 128, 145, 147, 156, 158, 161]; perirenal hematoma and renal fragmentation are not absolute indications for acute OM [108, 146, 161].…”

Section: Methodsmentioning

confidence: 99%

“…Isolated penetrating injuries to the kidney are rare; they are often associated with severe injuries, multiorgan involvement, and hemodynamic instability [1, 43, 92, 137, 145, 158, 159, 163]. However, NOM may be an appropriate first-line management option in hemodynamically stable patients without other indications for open surgical exploration (peritonitis, failed embolization, persistent bleeding, expanding or pulsatile hematoma, pielo-ureteral lesions) following penetrating trauma [1, 43, 92, 116, 128, 129, 135, 136, 138, 143, 144, 146–149, 154, 156, 159, 161, 164, 165].…”

Section: Methodsmentioning

confidence: 99%

“…Hemodynamically unstable patients with renal trauma not responsive to fluid resuscitation should undergo OM [1, 92, 108, 116, 142, 154–156, 158, 159].…”

Section: Methodsmentioning

confidence: 99%

“…Other imaging modalities such as intravenous pyelography (less effective than CT in diagnosing significant renal injury) [43, 108, 116, 139, 154, 155, 158, 164], plain radiography [159], ultrasound (can lead to some significant false negative) [116, 139, 155, 157, 159] should be used to assess hemodynamically stable patients when CT scanning is not available.…”

Section: Methodsmentioning

confidence: 99%

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Kidney and uro-trauma: WSES-AAST guidelines

et al. 2019

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Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…Hemodynamically unstable patients with renal trauma not responsive to fluid resuscitation should undergo OM [1, 92, 108, 116, 142, 154–156, 158, 159].…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Kidney and uro-trauma: WSES-AAST guidelines

et al. 2019

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“…Early diagnosis and treatment of genitourinary injuries are important in preventing or minimizing complications, such as mortality and renal *Correspondence: Erdal Yavuz, MD, Department of Emergency Medicine, Adıyaman University, 02200, Adıyaman, Turkey. Email: erdal_yavuz15@hotmail.com dysfunction, urinary incontinence and sexual dysfunction [3]. As in all trauma cases, in patients with genitourinary injuries, the airway should be protected first, and then external bleeding and hemodynamic shock should be controlled.…”

Section: Introductionmentioning

confidence: 99%

Analysis of genitourinary trauma patients admitted to the emergency department

Aydın

Yavuz

2021

IMC J Med Sci

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Background and objective: Genitourinary injuries are commonly encountered in the emergency department but may be over looked in case of multi-trauma. Determining the clinical features of genitourinary injuries will help physicians in the management of genitourinary trauma. Methods: The study was conducted in a tertiary hospital. Patients of all ages, admitted in the emergency department, with trauma between 2015 and 2020 were included and analyzed. The cause of genitourinary trauma, affected organs, any accompanying injury, treatments, mortality status, and laboratory tests related to mortality were obtained from the hospital records and analyzed. Results: During the study period, 87 patients admitted to the emergency department with genitourinary trauma were included in the study. The majority of these patients (n=79) were male. Of the patients, 9.2% died. All the patients in the mortality group had additional injuries. The most frequently injured organ was determined as the kidney (51.7%), followed by the scrotum (25.3%) and penis (8.1%). Additional injuries were observed in 81.6% of the patients. Intra-abdominal organ injuries (19.5%) were the most common accompanying injuries. White blood cell count (WBC), aspartate aminotransferase (AST), alanine aminotransferase ( ALT), blood glucose and creatinine values measured at the time of admission to the emergency department were found to be higher in the non-survivor group. The majority of the patients (81%) were discharged with conservative treatment and follow-up. Conclusion: It was determined that genitourinary injuries were frequently seen with additional injuries. Genitourinary injury should be evaluated carefully, especially in the presence of intra-abdominal organ injuries. Ibrahim Med. Coll. J. 2021; 15(2): 32-37

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Trauma to the Urogenital Tract

Sekyere

2016

Clinical Pathways in Emergency Medicine

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Genitourinary trauma

Cited by 3 publications

References 3 publications

Kidney and uro-trauma: WSES-AAST guidelines

Kidney and uro-trauma: WSES-AAST guidelines

Analysis of genitourinary trauma patients admitted to the emergency department

Trauma to the Urogenital Tract

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