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Chapter 16 - Genitourinary Trauma

Published online by Cambridge University Press:  23 August 2019

By
E. Liang Liu
Edited by
Alex Koyfman  and
Brit Long
Alex Koyfman
Affiliation:
University of Texas Southwestern Medical Center
Brit Long
Affiliation:
San Antonio Military Medical Center
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Summary

The genitourinary (GU) system includes the kidneys, ureters, bladder, urethra, penis, scrotum, and female genitalia. Of the 27.7 million patients per year presenting to emergency departments (ED) for traumatic injury, about 10% of these traumas primarily involve the GU system, and another 10–15% of patients with abdominal trauma will have GU injuries as well.1 GU trauma patients are predominantly young (80% less than the age of 45 years) and male (85% of all patients).2 Delays or missed diagnosis of GU trauma can result in increased morbidity and mortality due to preventable complications with long term consequences.3

Type
Chapter
Information
The Emergency Medicine Trauma Handbook , pp. 232 - 248
Publisher: Cambridge University Press
Print publication year: 2019

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References

Blair, M. Overview of genitourinary trauma. CNE Series 2011. Urologic Nursing. 2011;31(3):139–45.Google Scholar
Bryant, WK, Shewakramani, S. Emergency management of renal and genitourinary trauma: best practice update. EB Medicine. 2017;19(8):1–20.Google Scholar
Matlock, KA, Tyroch, AH, Kronfol, ZN, McLean, SF, Pirela-Cruz, MA. Blunt traumatic bladder injury: a 10-year perspective. Am Surg. 2013;79(6):589–93.Google Scholar
McGeady, JB, Breyer, BN. Current epidemiology of genitourinary trauma. Urol Clin North Am. 2013;40(3):323–34.Google Scholar
Bagga, HS, Fisher, PB, Tasian, GE, et al. Sports-related genitourinary injuries presenting to United States emergency departments. Urology. 2015;85(1):239–44.CrossRefGoogle ScholarPubMed
Lynch, TH, Martínez-Piñeiro, L, Plas, E, et al.; European Association of Urology. EAU guidelines on urological trauma. Eur Urol. 2005;47(1):1–15.CrossRefGoogle ScholarPubMed
MacDougal, DB. Abdominal trauma. In: Newberry, L, Criddle, LM, eds. Sheehey’s Manual of Emergency Care, 6th ed. St Louis: Elsevier Mosby, 2005.Google Scholar
Serafetinides, E, Kitrey, ND, Djakovic, N, et al. Review of the current management of upper urinary tract injuries by the EAU trauma guidelines panel. Eur Assoc Urol. 2015;67(1):930–36.Google Scholar
Holevar, M, Ebert, J, Luchette, F, et al. Practice management guidelines for the management of genitourinary trauma. Eastern Association for the Surgery of Trauma. 2004. Available at: www.east.org/education/practice-management-guidelines/genitourinary-trauma-diagnostic-evaluation-of. Accessed August 20, 2018.Google Scholar
Chouhan, JD, Winer, AG, Johnson, C, Weiss, JP, Hyacinthe, LM. Contemporary evaluation and management of renal trauma. Can J Urol. 2016;23(2):8191–97.Google ScholarPubMed
Figler, BD, Hoffler, CE, Reisman, W, et al. Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries. Injury. 2012;43(8):1242–49.CrossRefGoogle ScholarPubMed
Lumen, N, Kuehhas, FE, Djakovic, N, et al. Review of the current management of lower urinary tract injuries by the EAU trauma guidelines panel. Eur Assoc Urol. 2015;67(1):925–29.Google ScholarPubMed
Campbell, MR. Abdominal and urological trauma. In: Newberry, L, Criddle, LM, eds. Sheehey’s Manual of Emergency Care, 6th ed. St. Louis, MO: Elsevier Mosby; 2007.Google Scholar
Schmidlin, FR, Iselin, CE, Naimi, A, et al. The higher injury risk of abnormal kidneys in blunt renal trauma. Scand J Urol Nephrol. 1998;32(6):388–92.Google Scholar
Tonkin, JB, Tisdale, BE, Jordan, GH. Assessment and initial management of urologic trauma. Med Clin N Am. 2011:95(1):245–51.CrossRefGoogle ScholarPubMed
Schewakramani, S, Reed, KC. Genitourinary trauma. Emerg Med Clin N Am. 2011;29(1):501–18.Google Scholar
Chang, AJ, Brandes, SB. Advances in diagnosis and management of genital injuries. Urol Clin N Am. 2013;40(1):427–38.Google Scholar
Bryk, DJ, Zhao, LC. Guideline of guidelines: a review of urological trauma guidelines. BJU Int. 2016;117(2):226–34.Google Scholar
Morey, AF, Brandes, S, Dugi, DD 3rd, et al. Urotrauma: AUA guideline. J Urol. 2014;192(2):327–35.CrossRefGoogle ScholarPubMed
Yeung, LL, Brandes, SB. Contemporary management of renal trauma: differences between urologist and trauma surgeons. J Trauma Acute Care Surg. 2012;72(1):68–75.Google Scholar

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