title: Management of urogenital trauma:  state of the art.
abstract: OBJECTIVE
  The field of urogenital trauma is undergoing constant improvement mainly due to better diagnostic tools, a shift toward standardized treatments and better trauma care. The purpose of this review is to summarize the most relevant studies published within the last 3 years on the subject.
  
  
  RESULTS
  Computerized tomography grading of renal trauma is an excellent predictor of the need for surgery and the final renal outcome in these patients, as most patients can be treated conservatively. Computerized tomography cystography has become the standard for the diagnosis of bladder rupture in which the indications for surgical intervention may be changing. The most common urethral trauma is posterior urethral injury due to pelvic fracture. The best results in adults and children are achieved by urethroplasty.
  
  
  CONCLUSIONS
  The diagnosis and treatment of genitourinary trauma is still evolving. The long-term sequels of these injuries may best be treated by urologists expert in urogenital reconstruction. In the future, tissue engineering may have an important place in the treatment of these patients.
authors: Shaare Zedek Medical Center, Jerusalem, Israel. shenfeld@szmc.org.il
authors: Ofer Z
authors: OZ
authors: Shenfeld
authors: Ehud
authors: E
authors: Gnessin
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D005837:Genitalia, Male / Q000293:injuries / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000293:injuries / Q000601:surgery; D008297:Male; D016896:Treatment Outcome; D014513:Ureter / Q000293:injuries / Q000601:surgery; D014521:Urethra / Q000293:injuries / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery; D014566:Urogenital System / Q000293:injuries / Q000601:surgery*; D013520:Urologic Surgical Procedures; D014947:Wounds and Injuries / Q000175:diagnosis / Q000601:surgery*