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Urinary tract injuries in patients with multiple trauma

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Abstract

This article mainly reviews urinary tract injuries in patients with multiple trauma. Approximately 10% of all traumatic injuries resulting from an external force will involve the genitourinary system. The article discusses mechanisms of injury, diagnosis, and therapeutical approaches for renal, ureteral, bladder, and urethral trauma. Due to the complexity of such injuries—despite several attempts to provide a standard strategy in trauma patients with urinary tract involvement—an individual and patient-specific-therapeutic approach is mandatory in most cases. However, the availability of classified guidelines may help the surgeon to reach the most accurate decision. Because of the similarity of American and European guidelines on urological trauma, this article adapts injury severity scales and classification from the American Association for the Surgery of Trauma.

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Authors and Affiliations

  1. Department of Urology, Hanover Medical School, Carl-Neuberg Strasse 1, 30625, Hannover, Germany

    Hossein Tezval, Christoph von Klot, Thomas R. Herrmann, Udo Jonas & Martin Burchardt

  2. Department of Trauma, Plastic and Reconstructive Surgery, Georg-August-University Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany

    Mohammad Tezval & Klaus Dresing

Authors
  1. Hossein Tezval
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  2. Mohammad Tezval
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  3. Christoph von Klot
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  4. Thomas R. Herrmann
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  5. Klaus Dresing
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  6. Udo Jonas
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  7. Martin Burchardt
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Correspondence to Martin Burchardt.

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H. Tezval and M. Tezval contributed equally to this work.

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Tezval, H., Tezval, M., von Klot, C. et al. Urinary tract injuries in patients with multiple trauma. World J Urol 25, 177–184 (2007). https://doi.org/10.1007/s00345-007-0154-y

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  • DOI: https://doi.org/10.1007/s00345-007-0154-y

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