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Urological Injuries in Polytraumatized Patients

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Textbook of Polytrauma Management

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Abstract

In patients with multiple traumas, urological injuries are frequently associated with pelvic ring injuries. The incidence is highest in the kidney despite that fact that it is located safely in the retroperitoneum. Injuries of the ureter in trauma patients are rare. Hematuria can be a symptom of many urological injuries. In most patients, the symptoms are nonspecific. Nowadays, the diagnostic evaluation is mainly done by CT imaging. Nevertheless, radiographic assessment especially in the diagnosis of urethral injuries still has its place. A high proportion of injuries can be treated nonoperatively, but some require immediate surgical intervention. In the following chapter, we describe the different injuries with the current classifications, diagnostics, and treatment according to current guidelines.

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Author information

Authors and Affiliations

  1. Department of Urology, Uro-Oncology and Robot Assisted Surgery, RWTH University AachenUniversity Hospital Cologne, Aachen, Cologne, Germany

    Patricia John, David Pfister & Axel Heidenreich

Authors
  1. Patricia John
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  2. David Pfister
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  3. Axel Heidenreich
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Corresponding author

Correspondence to Axel Heidenreich .

Editor information

Editors and Affiliations

  1. Department of Trauma Surgery, University Hospital Zürich, Zürich, Switzerland

    Hans-Christoph Pape

  2. Department of Orthopaedic Surgery & Sports Medicine, The University of South Florida Morsani College of Medicine, Tampa, FL, USA

    Joseph Borrelli Jr.

  3. Ernest E. Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA

    Ernest E. Moore

  4. Klinik für Traumatologie, University Hospital of Zürich, Zürich, Switzerland

    Roman Pfeifer

  5. Rocky Vista University, College of Osteopathic Medicine, Parker, CO, USA

    Philip F. Stahel

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John, P., Pfister, D., Heidenreich, A. (2022). Urological Injuries in Polytraumatized Patients. In: Pape, HC., Borrelli Jr., J., Moore, E.E., Pfeifer, R., Stahel, P.F. (eds) Textbook of Polytrauma Management . Springer, Cham. https://doi.org/10.1007/978-3-030-95906-7_22

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  • DOI: https://doi.org/10.1007/978-3-030-95906-7_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-95905-0

  • Online ISBN: 978-3-030-95906-7

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