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The Poly-Traumatized Patient with Fractures pp 115–126Cite as

Urological Injuries in Polytrauma

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Abstract

In patients with multiple traumas urological injuries can be frequently found. The incidence is highest in renal injuries although it is located safely in the retroperitoneum. Injuries of the ureter in trauma patients are rare, most of the ureteral lacerations being iatrogenic. Gross hematuria can be a symptom of almost all kind of urological associated traumas. In most patients the symptoms are not specific. Nowadays the diagnostic evaluation is mainly done by CT imaging. Nevertheless radiographic assessment especially in the diagnosis of urethral injuries still has its place. A high proportion of injuries can be treated conservatively but we also find life threatening injuries with the need of an immediate surgical intervention. In the following chapter we describe the different injuries with the current classifications, diagnostics and treatment according to the latest guidelines.

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Author information

Authors and Affiliations

  1. Department of Urology, RWTH University Aachen, Pauwelsstr. 30, 52074, Aachen, Germany

    David Pfister & Axel Heidenreich

Authors
  1. David Pfister
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  2. Axel Heidenreich
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Correspondence to Axel Heidenreich .

Editor information

Editors and Affiliations

  1. Klinik für Unfallchirurgie, Universitätsklinikum Aachen, Pauwelsstraße 30, Aachen, 52057, Germany

    Hans-Christoph Pape

  2. Florida Orthopaedic Institute, N. Telecom Parkway 13020, Temple Terrace, 33637, Florida, USA

    Roy Sanders

  3. Southwestern Medical Center at Dallas, University of Texas, Harry Hines Blvd. 5323, Dallas, 75390, Texas, USA

    Joseph Borrelli, Jr.

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© 2011 Springer-Verlag Berlin Heidelberg

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Pfister, D., Heidenreich, A. (2011). Urological Injuries in Polytrauma. In: Pape, HC., Sanders, R., Borrelli, Jr., J. (eds) The Poly-Traumatized Patient with Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17986-0_11

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  • DOI: https://doi.org/10.1007/978-3-642-17986-0_11

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17985-3

  • Online ISBN: 978-3-642-17986-0

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