Management of genitourinary trauma.
The spectrum of genitourinary injuries seen in a small community hospital over the past three years is presented. With the exception of the obvious ureteral injury, the key factor in management is adequate x-ray diagnosis. This allows the physician to estimate the type and extent of injury. In the clinically stable patient, renal injuries can be managed conservatively. However, in our experience a major renal injury is usually associated with major intra-abdominal injury and these patients require exploration. Bladder injuries may be diagnosed with a cystogram, and repaired. Posterior urethral injuries may be managed initially by simple insertion of a suprapubic tube.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003120:Colorado; D005260:Female; D006744:Hospital Bed Capacity, 100 to 299; D006764:Hospitals, Community; D006801:Humans; D007668:Kidney / Q000293:injuries; D008297:Male; D014513:Ureter / Q000293:injuries; D014521:Urethra / Q000293:injuries; D001743:Urinary Bladder / Q000293:injuries; D014551:Urinary Tract / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000628:therapy; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000628:therapy