Urologic trauma guidelines: a 21st century update.
Trauma is the leading cause of death between the ages of 1 and 44 years in the USA. While stabilization of life-threatening injuries is the primary goal in the evaluation of all trauma patients, subsequent diagnosis and treatment of secondary injuries are requirements for good trauma care. The genitourinary system is involved in 10% of trauma cases, and these injuries can be associated with considerable morbidity and mortality. Accordingly, physicians involved in the initial evaluation and subsequent management of trauma patients should be aware of the diagnosis and treatment of injuries that can occur in the genitourinary system. In 2009, the European Association of Urology provided specific recommendations for the evaluation, diagnosis and management of genitourinary trauma. Here, we review and discuss these recommendations in order to provide a concise summary for clinicians involved in the evaluation and management of trauma patients and their associated genitourinary injuries.
Santucci
Richard A
RA
Michigan State College of Osteopathic Medicine, 4160 John R. Street, Detroit, MI 48201, USA.
Bartley
Jamie M
JM
D006801:Humans; D017410:Practice Guidelines as Topic; D014551:Urinary Tract / Q000293:injuries*; D014566:Urogenital System / Q000293:injuries*; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy
J Trauma. 1986 Sep;26(9):830-3
3746959
Urol Clin North Am. 1982 Jun;9(2):293-6
7101594
Curr Opin Urol. 1999 May;9(3):253-60
10726100
Emerg Med Clin North Am. 1993 Feb;11(1):137-45
8432245
J Trauma. 2006 Jan;60(1):164-9; discussion 169-70
16456451
J Urol. 2008 Jul;180(1):192-5; discussion 195-6
18499189
AJR Am J Roentgenol. 1995 Jan;164(1):253-4
7998551
Br J Urol. 1989 Aug;64(2):165-8
2765784
J Urol. 2000 Jul;164(1):65-70
10840426
J Urol. 1995 Jan;153(1):63-6
7966793
J Comput Assist Tomogr. 1990 May-Jun;14(3):386-9
2335605
J Urol. 1989 Jul;142(1):52-5
2733109
J Urol. 1999 Mar;161(3):768-71
10022681
Orthop Clin North Am. 1997 Jul;28(3):389-96
9208831
Surg Clin North Am. 2001 Dec;81(6):1417-30
11766183
J Urol. 1997 Jun;157(6):2056-8
9146579
J Trauma. 1981 Apr;21(4):291-7
7218395
Eur Urol. 1996;30(3):335-9
8931966
Semin Ultrasound CT MR. 1997 Apr;18(2):129-35
9163832
Am Fam Physician. 2001 Apr 15;63(8):1567-72
11327433
Br J Surg. 1998 Aug;85(8):1121-4
9718011
J Urol. 1991 May;145(5):932-7
2016804
J Urol. 1987 Oct;138(4):743-5
3656524
J Trauma. 1990 May;30(5):547-52; discussion 553-4
2342137
Br J Urol. 1996 Aug;78(2):243-7
8813921
J Urol. 1977 Oct;118(4):564-74
916051
Urol Int. 1994;53(2):92-6
7801424
J Urol. 2005 Mar;173(3):869-72
15711300
BJU Int. 2002 May;89(7):755-6
11966639
Urology. 1993 Jun;41(6):531-3
8516988
J Urol. 2005 Mar;173(3):873-6
15711301
J Urol. 1984 Aug;132(2):254-7
6737572
Arch Esp Urol. 1990 Jan-Feb;43(1):15-8
2331159
Urol Clin North Am. 1999 Feb;26(1):49-60, viii
10086050
J Trauma. 1989 Jan;29(1):65-70
2911106
Ugeskr Laeger. 1990 Apr 2;152(14):994-7
2183457
J Trauma. 1984 Aug;24(8):731-4
6471137
N Engl J Med. 1999 Jan 14;340(2):85-92
9887159
J Urol. 1983 Nov;130(5):887-8
6632094
J Urol. 1989 May;141(5):1095-8
2709493
J Trauma. 2001 Oct;51(4):683-6
11586159
Urol Clin North Am. 1989 May;16(2):267-73
2652855
Injury. 2001 Jan;32(1):23-6
11164397
Angiology. 1998 May;49(5):415-8
9591535
J Urol. 2000 Jul;164(1):43-6
10840421
Arch Surg. 2001 Sep;136(9):1045-9
11529828
J Urol. 2003 May;169(5):1751-3
12686825
J Urol. 1999 Apr;161(4):1088-92
10081844
Acta Urol Belg. 1988;56(1):68-73
3364323
J Urol. 1995 Mar;153(3 Pt 1):609-11
7861494
J Trauma. 2005 Aug;59(2):493-503
16294101
World J Urol. 1999 Apr;17(2):71-7
10367364
Rofo. 1993 Jun;158(6):507-12
8507839
BJU Int. 2002 May;89(7):748-51
11966637
AJR Am J Roentgenol. 2001 Feb;176(2):289-96
11159059
Br J Urol. 1991 Aug;68(2):178-80
1884146
J Urol. 1988 Jul;140(1):16-8
3379684
Urology. 1986 Dec;28(6):521-3
3787926
J Urol. 2001 Feb;165(2):404-7
11176383
J Trauma. 1994 Oct;37(4):587-9; discussion 589-90
7932889
J Urol. 1993 Jul;150(1):70-2
8510278
J Trauma. 1999 Oct;47(4):643-9; discussion 649-50
10528597
Emerg Med Clin North Am. 2001 Aug;19(3):569-90
11554276
Radiology. 1989 Aug;172(2):297-308
2664858
J Urol. 2004 Feb;171(2 Pt 1):822-5
14713834
J Urol. 2003 Nov;170(5):1877-80
14532797
J Urol. 2002 Apr;167(4):1715-9
11912394
J Urol. 1989 May;141(5):1163-5
2651716
Urology. 1977 Aug;10(2):115-7
898448
J Urol. 1992 Feb;147(2):466-8
1732623
J Trauma. 1984 Apr;24(4):291-8
6368854
Adolesc Med. 1996 Feb;7(1):141-148
10359963
J Urol. 2006 Dec;176(6 Pt 1):2494-7
17085140
Urology. 1988 Mar;31(3):220-2
3347970
J Urol. 1991 Apr;145(4):744-8
2005693
J Urol. 1983 Mar;129(3):468-70
6834529
Ann Emerg Med. 1991 Aug;20(8):845-7
1854066
J Urol. 2008 Jun;179(6):2248-52; discussion 2253
18423679
J Am Coll Surg. 2004 Jan;198(1):78-82
14698314
Obstet Gynecol. 1999 Nov;94(5 Pt 2):883-9
10546778
J Urol. 2007 Dec;178(6):2451-5
17937955
Urology. 1991 Jun;37(6):528-30
2038785
J Am Coll Surg. 1994 Apr;178(4):417-25
8149045
South Med J. 1998 Feb;91(2):144-6
9496865
J Am Coll Surg. 1998 Jun;186(6):641-4
9632150
J Am Coll Surg. 2000 Oct;191(4):443-51
11030250
J Urol. 2006 Mar;175(3 Pt 1):970-5; discussion 975
16469594
J Trauma. 2006 Aug;61(2):243-54; discussion 254-5
16917435
Vestn Khir Im I I Grek. 1990 Nov;145(11):64-72
1966179
J Urol. 1992 Jan;147(1):139-43
1729508
World J Urol. 1998;16(1):69-75
9542018
Urol Clin North Am. 1989 May;16(2):187-92
2652848
Urol Clin North Am. 1989 May;16(2):275-7
2711545
J Urol. 1993 Dec;150(6):1834-6
8080482
Can J Urol. 2001 Oct;8(5):1372-6
11718633
Eur Urol. 2001 Oct;40(4):409-14
11713395
J Trauma. 1999 Dec;47(6):1039-42; discussion 1042-4
10608530
Postgrad Med. 1997 Apr;101(4):243-4, 246-52, 254
9126216
J Trauma. 1995 Aug;39(2):266-71; discussion 271-2
7674395
Eur Radiol. 1999;9(4):611-5
10354870
J Urol. 1992 May;147(5):1231-4
1569655
J Urol. 1993 Nov;150(5 Pt 1):1507-8
8411440
Am J Hypertens. 2006 May;19(5):500-4
16647623
J Urol. 1990 Apr;143(4):682-4
2313792
Urol Clin North Am. 1989 May;16(2):377-85
2652862
J Urol. 1966 May;95(5):721-3
5935538