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Practical Urology: Essential Principles and Practice pp 497–510Cite as

Urologic Trauma

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Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

Abstract

Injury is a major cause of death and disability worldwide and the leading cause of death among young people in the USA. However, fatalities represent only a small fraction of those injured – of the 2.5 million patients who were hospitalized for injuries in 2003, only 148,000 died of their injuries.2,3 Urogenital injuries, though common, are often not life-threatening and are easily overlooked during the initial stabilization of the trauma patient, resulting in significant morbidity.

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References

  1. Turner-Warwick R. A personal view of the immediate management of pelvic fracture urethral injuries. Urol Clin North Am. 1977;4:81

    PubMed  CAS  Google Scholar 

  2. Traffic Safety Facts 2005. U.S. Department of Transportation http://www-nrd.nhtsa.dot.gov/pubs/tsf2005.pdf

  3. 10 Leading Causes of Death by Age Group, United States – 2004. Office of Statistics and Programming, National Center for Injury Prevention and Control, CDC http://www.cdc.gov/injury/wisqars/LeadingCauses.html

  4. Alsikafi NF, McAninch JW, Elliott SP, Garcia M. Nonoperative management outcomes of isolated urinary extravasation following renal lacerations due to external trauma. J Urol. 2006;176(6 Pt 1):2494-2497

    Article  PubMed  Google Scholar 

  5. Miller KS, McAninch JW. Radiographic assessment of renal trauma: our 15-year experience. J Urol. 1995;154(2 Pt 1):352-355

    PubMed  CAS  Google Scholar 

  6. Cass AS. Renovascular injuries from external trauma. Urol Clin North Am. 1989;16:213-220

    PubMed  CAS  Google Scholar 

  7. Moore E, Shackford S, Packter H, et al. Scaling: spleen, liver, and kidney. J Trauma. 1989;29:1664-1666

    Google Scholar 

  8. Matthews LA, Smith EM, Spirnak JP. Nonoperative treatment of major blunt renal lacerations with urinary extravasation. J Urol. 1997;157:2056-2058

    Article  PubMed  CAS  Google Scholar 

  9. McAninch JW, Master VA. Genitourinary tract trauma. In: Mastery of Surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2007:1781

    Google Scholar 

  10. Moudouni SM, Hadj Slimen M, Manunta A, et al. Management of major blunt renal lacerations: is a nonoperative approach indicated? Eur Urol. 2001;40:409-414

    Article  PubMed  CAS  Google Scholar 

  11. Thall EH, Stone NN, Cheng DL, et al. Conservative management of penetrating and blunt type III renal injuries. Br J Urol. 1996;77:512-517

    Article  PubMed  CAS  Google Scholar 

  12. Velmahos GC, Demetriades D, Cornwell EE 3rd, et al. Selective management of renal gunshot wounds. Br J Surg. 1998;85:1121-1124

    Article  PubMed  CAS  Google Scholar 

  13. Santucci RA, Fisher MB. The literature increasingly supports expectant (conservative) management of renal trauma – a systematic review. J Trauma. 2005;59(2):493-503; review

    Article  PubMed  Google Scholar 

  14. Altman AL, Haas C, Dinchman KH, Spirnak JP. Selective nonoperative management of blunt grade 5 renal injury. J Urol. 2000;164(1):27-30

    Article  PubMed  CAS  Google Scholar 

  15. Santucci RA, Wessells H, Bartsch G, et al. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. BJU Int. 2004;93(7):937-954

    Article  PubMed  CAS  Google Scholar 

  16. McAninch JW. Editorial comment. J Urol. 2000;164(1):30-31

    Article  Google Scholar 

  17. Sofocleous CT, Hinrichs C, Hubbi B, et al. Angiographic findings and embolo-therapy in renal arterial trauma. Cardiovasc Intervent Radiol. 2005;28:39

    Article  PubMed  Google Scholar 

  18. Breyer BN, McAninch JW, Elliott SP, Master VA. Minimally invasive endovascular techniques to treat acute renal hemorrhage. J Urol. 2008;179(6):2248-2252; discussion 2253

    Article  PubMed  Google Scholar 

  19. Morey AF, McAninch JW, Tiller BK, et al. Single shot intraoperative excretory urography for the immediate evaluation of renal trauma. J Urol. 1999;161(4):1088-1092

    Article  PubMed  CAS  Google Scholar 

  20. McAninch JW, Carroll PR. Renal trauma: kidney preservation through improved vascular control – a refined approach. J Trauma. 1982;22(4):285-290

    Article  PubMed  CAS  Google Scholar 

  21. Carroll PR, Klosterman P, McAninch JW. Early vascular control for renal trauma: a critical review. J Urol. 1989;141(4):826-829

    PubMed  CAS  Google Scholar 

  22. Meng MV, Brandes SB, McAninch JW. Renal trauma: indications and techniques for surgical exploration. World J Urol. 1999;17(2):71-77; review

    Article  PubMed  CAS  Google Scholar 

  23. Haas CA, Dinchman KH, Nasrallah PF, Spirnak JP. Traumatic renal artery occlusion: a 15-year review. J Trauma. 1998;45(3):557-561

    Article  PubMed  CAS  Google Scholar 

  24. Lohse JR, Botham RJ, Waters RF. Traumatic bilateral renal artery thrombosis: case report and review of literature. J Urol. 1982;127:522-525

    PubMed  CAS  Google Scholar 

  25. Stein JP, Kaji DM, et al. Blunt renal trauma in the pediatric population: indications for radiographic evaluation. Urology. 1994;44(3):406-410

    Article  PubMed  CAS  Google Scholar 

  26. Buckley J, McAninch JW. Pediatric renal injuries: management guidelines from a 25-year experience. J Urol. 2004;172:687-690

    Article  PubMed  Google Scholar 

  27. Rana AI, Kenney PJ, Lockhart ME, et al. Adrenal gland hematomas in trauma patients. Radiology. 2004;230(3):669-675

    Article  PubMed  Google Scholar 

  28. Gomez RG, McAninch JW, Carroll PR. Adrenal glandtrauma: diagnosis and management. J Trauma. 1993;35:870

    Article  PubMed  CAS  Google Scholar 

  29. Gabal-Shehab L, Alagiri M. Traumatic adrenal injuries. J Urol. 2005;173(4):1330-1331

    Article  PubMed  Google Scholar 

  30. Elliott SP, McAninch JW. Ureteral injuries from external violence: the 25-year experience at San Francisco General Hospital. J Urol. 2003;170(4 Pt 1):1213-1216

    Article  PubMed  Google Scholar 

  31. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling. III: chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma. 1992;33(3):337-339

    Article  PubMed  CAS  Google Scholar 

  32. Best CD, Petrone P, Buscarini M, et al. Traumatic ureteral injuries: a single institution experience validating the American Association for the Surgery of Trauma-Organ Injury Scale grading scale. J Urol. 2005;173(4):1202-1205

    Article  PubMed  Google Scholar 

  33. Amato JJ, Billy LJ, Gruber RP, et al. Vascular injuries. An experimental study of high and low velocity missile wounds. Arch Surg. 1970;101(2):167-174

    PubMed  CAS  Google Scholar 

  34. Santucci RA, Chang YJ. Ballistics for physicians: myths about wound ballistics and gunshot injuries. J Urol. 2004;171(4):1408-1414

    Article  PubMed  Google Scholar 

  35. Kirchner KA, MacMillan RA, Krueger RP, Raju S. Fluorescein sodium injection for evaluation of ureteric vasculature prior to cadaveric renal transplantation. Transplantation. 1982;33(1):100-101

    Article  PubMed  CAS  Google Scholar 

  36. Brandes S, Coburn M, Armenakas N, McAninch J. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int. 2004;94(3):277-289; review

    Article  PubMed  Google Scholar 

  37. Brewer ME, Wilmoth RJ, Enderson BL, Daley BJ. Prospective comparison of microscopic and gross hematuria as predictors of bladder injury in blunt trauma. Urology. 2007;69(6):1086-1089

    Article  PubMed  Google Scholar 

  38. Mouraviev VB, Coburn M, Santucci RA. The treatment of posterior urethral disruption associated with pelvic fractures: comparative experience of early realignment versus delayed urethroplasty. J Urol. 2005;173(3):873-876

    Article  PubMed  Google Scholar 

  39. Basta AM, Blackmore CC, Wessells H. Predicting urethral injury from pelvic fracture patterns in male patients with blunt trauma. J Urol. 2007;177(2):571-575

    Article  PubMed  Google Scholar 

  40. Doyle SM, Master VA, McAninch JW. Appropriate use of CT in the diagnosis of bladder rupture. J Am Coll Surg. 2005;200(6):973

    Article  PubMed  Google Scholar 

  41. Voelzke BB, McAninch JW. Is genitourinary imaging necessary in patients who have microscopic hematuria after trauma? Nat Clin Pract Urol. 2007;4(11):590-591

    Article  PubMed  Google Scholar 

  42. Gomez RG, Ceballos L, Coburn M, et al. Consensus statement on bladder injuries. BJU Int. 2004;94(1):27-32; review

    Article  PubMed  Google Scholar 

  43. Colapinto V, McCallum RW. Injury to the male posterior urethra in fractured pelvis: a new classification. J Urol. 1977;118(4):575-580

    PubMed  CAS  Google Scholar 

  44. Chapple C, Barbagli G, Jordan G, et al. Consensus statement on urethral trauma. BJU Int. 2004;93(9):1195-1202; review

    Article  PubMed  CAS  Google Scholar 

  45. Whitson JM, McAninch JW, Tanagho EA, et al. Mechanism of continence after repair of posterior urethral disruption: evidence of rhabdosphincter activity. J Urol. 2007;179:1035-1039

    Article  Google Scholar 

  46. Carlin BI, Resnick MI. Indications and techniques for urologic evaluation of the trauma patient with suspected urologic injury. Semin Urol. 1995;13:9-24

    PubMed  CAS  Google Scholar 

  47. Lucey DT, Smith MJ, Koontz WW Jr. Modern trends in the management of urologic trauma. J Urol. 1972;107(4):641-646

    PubMed  CAS  Google Scholar 

  48. Kotkin L, Koch MO. Morbidity associated with nonoperative management of extraperitoneal bladder injuries. J Trauma. 1995;38(6):895-898

    Article  PubMed  CAS  Google Scholar 

  49. Franko ER, Ivatury RR, Schwalb DM. Combined penetrating rectal and genitourinary injuries: a challenge in management. J Trauma. 1993;34(3):347-353

    Article  PubMed  CAS  Google Scholar 

  50. Taffet R. Management of pelvic fractures with concomitant urologic injuries. Orthop Clin North Am. 1997;28(3):389-396

    Article  PubMed  CAS  Google Scholar 

  51. Elliott SP, McAninch JW. Extraperitoneal bladder trauma: delayed surgical management can lead to prolonged convalescence. J Trauma. 2009;66:274-275

    Article  PubMed  Google Scholar 

  52. Volpe MA et al. Is there a difference in outcome when treating traumatic intraperitoneal bladder rupture with or without a suprapubic tube? J Urol. 1999;161(4):1103-1105

    Article  PubMed  CAS  Google Scholar 

  53. Parry NG, Rozycki GS, Feliciano DV, et al. Traumatic rupture of the urinary bladder: is the suprapubic tube necessary? J Trauma. 2003;54(3):431-436

    Article  PubMed  Google Scholar 

  54. Corriere JN Jr, Sandler CM. Management of the ruptured bladder: seven years of experience with 111 cases. J Trauma. 1986;26(9):830-833

    Article  PubMed  Google Scholar 

  55. Monga M, Moreno T, Hellstrom WJ. Gunshot wounds to the male genitalia. J Trauma. 1995;38(6):855-858

    Article  PubMed  CAS  Google Scholar 

  56. Park S, McAninch JW. Straddle injuries to the bulbar urethra: management and outcomes in 78 patients. J Urol. 2004;171(2 Pt 1):722-725

    Article  PubMed  Google Scholar 

  57. Ying-Hao S, Chuan-Liang X, Guo-Qiang L, et al. Urethroscopic realignment of ruptured bulbar urethra. J Urol. 2000;164:1543

    Article  PubMed  CAS  Google Scholar 

  58. Kukadia AN, Ercole CJ, Gleich P, et al. Testicular trauma: potential impact on reproductive function. J Urol. 1996;156(5):1643-1646

    Article  PubMed  CAS  Google Scholar 

  59. Morey AF, Metro MJ, Carney KJ, et al. Consensus on genitourinary trauma: external genitalia. BJU Int. 2004;94(4):507-515

    Article  PubMed  Google Scholar 

  60. Breyer BN, Cooperberg MR, McAninch JW, Master VA. Improper retrograde urethrogram technique leads to incorrect diagnosis. J Urol. 2009 Aug;182(2):716-7

    Article  PubMed  CAS  Google Scholar 

  61. Micallef M, Ahmad I, Ramesh N, Hurley M, McInerney D. Ultrasound features of blunt testicular injury. Injury. 2001 Jan;32(1):23-6

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Urology, Emory University, Atlanta, GA, USA

    Bradley D. Figler & Viraj A. Master

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  1. Bradley D. Figler
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  2. Viraj A. Master
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Editors and Affiliations

  1. Dept. of Urology, J Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, United Kingdom

    Christopher R. Chapple

  2. Dept. Urology, University of Virginia Health System, Charlottesville, Virgin Islands, USA

    William D. Steers

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© 2011 Springer London

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Figler, B.D., Master, V.A. (2011). Urologic Trauma. In: Chapple, C., Steers, W. (eds) Practical Urology: Essential Principles and Practice. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-034-0_36

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  • DOI: https://doi.org/10.1007/978-1-84882-034-0_36

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  • Print ISBN: 978-1-84882-033-3

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