EAU guidelines on iatrogenic trauma.
BACKGROUND
The European Association of Urology (EAU) Trauma Guidelines Panel presents an updated iatrogenic trauma section of their guidelines. Iatrogenic injuries are known complications of surgery to the urinary tract. Timely and adequate intervention is key to their management.


OBJECTIVE
To assess the optimal evaluation and management of iatrogenic injuries and present an update of the iatrogenic section of the EAU Trauma Guidelines.


METHODS
A systematic search of the literature was conducted, consulting Medline and the Cochrane Register of Systematic reviews. No time limitations were applied, although the focus was on more recent publications.


RESULTS
The expert panel developed statements and recommendations. Statements were rated according to their level of evidence, and recommendations received a grade following a rating system modified from the Oxford Centre for Evidence-based Medicine. Currently, only limited high-powered studies are available addressing iatrogenic injuries. Because the reporting of complications or sequelae of interventions is now increasingly becoming a standard requirement, this situation will likely change in the future.


CONCLUSIONS
This section of the trauma guidelines presents an updated overview of the treatment of iatrogenic trauma that will be incorporated in the trauma guidelines available at the EAU Web site (http://www. uroweb.org/guidelines/online-guidelines/).
Department of Urology, University Hospitals of Leicester, Leicester, UK. duncan.summerton@uhl-tr.nhs.uk
Duncan J
DJ
Summerton
Noam D
ND
Kitrey
Nicolaas
N
Lumen
Efraim
E
Serafetinidis
Nenad
N
Djakovic
D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D014551:Urinary Tract / Q000293:injuries*