Urinary tract and genital trauma
Authors:
J. Sánchez Gómez; L. Martínez-Pineiro
Authors‘ workplace:
Hospital Infanta Sofia , Urology Section Madrid
Published in:
Urol List 2011; 9(1): 21-31
Overview
Early identification and management of genitourinary injuries minimize associated morbidity, which may include impairment of urinary continence and sexual function. Prompt injury identification depends upon a systematic evaluation with consideration of the mechanism of injury, pertinent physical examination findings, analysis of the urine, and appropriate diagnostic imaging, performed in the correct sequence. Abdominal trauma is almost always evaluated with CT scan. Except in the rare instance of a shattered kidney or major renal vascular laceration with significant haemorrhage, genitourinary injuries seldom pose a threat to life. In case of lower abdominal trauma, once life-threatening conditions are stabilized, investigation for genitourinary injury is conducted in a retrograde fashion beginning with evaluation of the external genitalia and urethra prior to that of the bladder. Frequently the evaluation of the lower and upper urinary system is performed at the same time during the performance of the emergency CT scan. CT scan should be made with iv. contrast and should include late films to rule out lesions of the ureters or urinary bladder. This article will show the diagnosis and management of genitourinary injury.
Key words:
renal trauma, ureteral trauma, bladder trauma, urethral trauma, genitourinary trauma
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