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Genitourinary Trauma

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Book cover Pediatric Urology

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Pediatric genitourinary trauma is uncommon but harbors several important differences when compared to adult trauma. Although the fundamental principles apply for renal trauma, the urologist must appreciate the different clinical responses to trauma in children with respect to hemodynamic stability, presence of hematuria, and the increased likelihood of underlying congenital anomalies. Additionally, urologists must be aware that a severe pelvic injury may involve the bladder neck, with the potential for very poor outcomes and that early evaluation and surgical intervention may be required. Genital injuries in a child must always be concerning for abuse. The vast majority of pediatric genitourinary trauma is expected to have excellent long-term outcomes, and due diligence to its nuances will ensure that these children recover to their maximum potential.

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Authors and Affiliations

  1. Division of Urology, Stollery Children–s Hospital, Edmonton, AL, Canada

    P. D. Metcalfe MD (Assistant Professor)

  2. Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA

    Mark P. Cain MD (Professor of Urology)

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Correspondence to Mark P. Cain MD .

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Editors and Affiliations

  1. Cleveland Clinic Lerner College, of Medicine of Case Western, Pediatric and Adolescent Urology Institu, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    Jeffrey S. Palmer

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Metcalfe, P.D., Cain, M.P. (2011). Genitourinary Trauma. In: Palmer, J. (eds) Pediatric Urology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-420-3_20

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