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Injury of the Kidney, Ureter, and Bladder

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Penetrating Trauma

Abstract

Including both blunt and penetrating trauma, renal injuries occur in 1.2 % of all trauma patients, and 15–25 % of patients with pelvic fracture incur urologic injury [21]. The American Association for the Surgery of Trauma (AAST) Injury Criteria are used to characterize severity of renal and urologic injury (Tables 50.1, 50.2, 50.3, and 50.4). Repair of injury to the kidney, ureter, urethra, or bladder whenever possible is essential to preserve long-term function.

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Recommended Reading

  1. Alskiafi NF, Rosenstein DI (2006) Staging, evaluation, and nonoperative management of renal injuries. Urol Clin North Am 33:13–19

    Article  Google Scholar 

  2. Armenakas NA, Duckett CP, McAnich JW (1999) Indications for nonoperative management of renal stab wounds. J Urol 161:768

    Article  CAS  PubMed  Google Scholar 

  3. Brewyer BN, McAninch JW, Elliott SP, Master VA (2008) Minimally invasive endovascular techniques to treat acute renal hemorrhage. J Urol 179:2248–2253

    Article  Google Scholar 

  4. Broghammer JA, Fisher MB, Santucci RA (2007) Conservative management of renal trauma: a review. Urology 70:623–629

    Article  PubMed  Google Scholar 

  5. Buckley JC, McAninch JW (2006) Selective management of isolated and nonisolated grade IV renal injuries. J Urol 176:2498–2502

    Article  PubMed  Google Scholar 

  6. Corriere JN, Sandler CM (2006) Diagnosis and management of bladder injuries. Urol Clin North Am 33:67–71

    Article  PubMed  Google Scholar 

  7. Davis KA, Reed RL, Santaniello RA (2006) Predictors of the need for nephrectomy after renal trauma. J Urol 60:169–170

    Google Scholar 

  8. Elliot S, McAninch J (2003) Ureteral injuries from external violence: the 25-year experience at San Francisco General Hospital. J Urol 170:1213–1216

    Article  Google Scholar 

  9. Elliott SP, McAninch JW (2006) Ureteral injuries: external and iatrogenic. Urol Clin North Am 33:55–66

    Article  PubMed  Google Scholar 

  10. Goldman S, Sandler C (2004) Urogenital trauma: imaging upper GU trauma. Eur J Radiol 50(1):84–95

    Article  PubMed  Google Scholar 

  11. Kaneko N, Kobaysashi Y, Okada Y (2008) Anatomic variations of the renal vessels pertinent to transperitoneal vascular control in the management of trauma. Surgery 143:616–622

    Article  PubMed  Google Scholar 

  12. Krane RJ, Siroky MB, Fitzpatrick JM (2000) Operative urology. Churchill Livingstone, New York

    Google Scholar 

  13. Master VA, McAninch JW (2006) Operative management of renal injuries: parenchymal and vascular. Urol Clin North Am 33:21–31

    Article  PubMed  Google Scholar 

  14. Mattox KL, Feliciano DV, Moore EE (2000) Trauma, 4th edn. McGraw-Hill, New York

    Google Scholar 

  15. McAninch J, Carroll P, Jordan G (1996) Traumatic and reconstructive urology. W. B Saunders Company, Philadelphia

    Google Scholar 

  16. Moore EE, Shackford SR, Pachter HL, McAninch JW, Browner BD, Champion HR, Flint LM, Gennarelli TA, Malangoni MA, Ramenofsky ML, et al (1989) Organ injury scaling: spleen, liver, and kidney. J Trauma 29(12):1664–1666

    Google Scholar 

  17. Santucci RA, McAnich JW, Safir M et al (2001) Validation of the American Association of the surgery of trauma organ injury severity scale for the kidney. J Trauma 50:195–200

    Article  CAS  PubMed  Google Scholar 

  18. Tasian GE, Aaronson DS, McAninch JW (2003) Evaluation of renal function after major renal injury: correlation with the American Association for the surgery of trauma injury scale. J Urol 183:196–200

    Article  Google Scholar 

  19. Tezval H, Tezval M, von Klot C, Herrmann T, Dresing K, Jonas U, Burchardt M (2007) Urinary tract injuries in patients with multiple trauma. World J Surg 25(2):177–184

    Google Scholar 

  20. Thal ER, Weigelt JA, Carrico CJ (2002) Operative trauma management, 2nd edn. McGraw-Hill, New York

    Google Scholar 

  21. Volpe MA, Pachter EM, Scalea TM, Macchio RJ, Mydlo JH (1999) Is there a difference in outcome with treating traumatic intraperitoneal bladder rupture with or without a suprapubic tube? J Urol 161(4):1103–1105

    Article  CAS  PubMed  Google Scholar 

  22. Wessells H, Suh D, Porter JR (2003) Renal injury and operative management in the United States: results of a population-based study. J Trauma 54:423–430

    Article  PubMed  Google Scholar 

  23. Wright JL, Nathens AB, Rivara FP et al (2006) Renal and extrarenal predictors of nephrectomy from the National Trauma Data Bank. J Urol 175(3 Pt 1):970

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA

    Charles Acher & Suresh Agarwal

Authors
  1. Charles Acher
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  2. Suresh Agarwal
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Correspondence to Suresh Agarwal .

Editor information

Editors and Affiliations

  1. Professor of Surgery Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital Harvard University Medical School, Boston, USA

    George C. Velmahos

  2. Professor Emeritus, Department of Surgery, University of the Witwatersrand Medical School, Milpark Hospital Academic Trauma Centre and Leratong Hospital, Johannesburg, South Africa

    Elias Degiannis

  3. Honorary Senior Lecturer, Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa

    Dietrich Doll

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Acher, C., Agarwal, S. (2017). Injury of the Kidney, Ureter, and Bladder. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_50

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  • DOI: https://doi.org/10.1007/978-3-662-49859-0_50

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

  • eBook Packages: MedicineMedicine (R0)

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