title: Simultaneous upper and lower urinary tract injury from external trauma.
abstract: We found simultaneous upper and lower urinary tract injury to be rare, being present in 10 of 2,310 patients (0.4%). Multiple associated injuries were present in all patients (average 4.4 per patient). In 3 patients both upper and lower urinary tract injuries were minor, and 1 patient died of associated injuries. In 4 patients one of the urinary injuries was significant and the other minor, and 2 of these patients died. In 3 patients both urinary injuries were significant, and all 3 died of associated injuries. A comprehensive urologic evaluation was required in all 10 patients because of their severe associated multiple injuries.
authors.affiliation: Division of Urology, Hennepin County Medical Center, Minneapolis, Minnesota.
authors.forename: A S
authors.initials: AS
authors.lastname: Cass
authors.forename: M
authors.initials: M
authors.lastname: Luxenberg
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000401:mortality; D001743:Urinary Bladder / Q000293:injuries; D014551:Urinary Tract / Q000293:injuries*; D014567:Urography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000401:mortality