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The Current Management of Renal Injuries

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Urological Emergencies

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The demographics, initial assessment, management, and outcomes following blunt and penetrating renal trauma will be discussed in this chapter. Mechanism of injury, degree of hematuria, and hemodynamic status are important factors to consider in the initial evaluation of a renal injury. Computed tomography of the abdomen and pelvis is the most common mechanism to stage renal injuries. Based on this study, the American Association for the Surgery of Trauma Renal Injury Score be determined. Over the past two decades, nonoperative management has become predominant, even for higher grade renal trauma. Despite this nonoperative trend, an understanding of the surgical management of renal trauma is paramount to avoid unnecessary nephrectomy. In order to reduce the incidence of nephrectomy, minimally invasive approaches are becoming used at a higher frequency, particularly renal angiography with additional selective embolization. Close follow-up is necessary following intermediate and high-grade renal trauma to reduce morbidity.

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  1. Department of Urology, University of Washington Medical Center, 325 9th Avenue, 359868, Seattle, WA, 98104, USA

    Bryan Voelzke

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  1. Bryan Voelzke
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Correspondence to Bryan Voelzke .

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  1. School of Medicine, Harborview Medical Center, University of Washington, 1959 NE Pacific Street Box 356510, Seattle, 98195, Washington, USA

    Hunter Wessells

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Voelzke, B. (2013). The Current Management of Renal Injuries. In: Wessells, H. (eds) Urological Emergencies. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-423-4_3

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  • DOI: https://doi.org/10.1007/978-1-62703-423-4_3

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