An update on urotrauma

  title={An update on urotrauma},
  author={D. Stein and R. Santucci},
  journal={Current Opinion in Urology},
Purpose of review The subject of genitourinary trauma was recently reviewed as an American Urologic Association guideline as well as recently updated as a European Association of Urology guideline. These guidelines, while complete and authoritative, deserve review, amplification and clarification. Also, notably absent from the guidelines is a section on the management of renovascular injuries, which will be reviewed here. Recent findings In the 2014, the American Urologic Association and… Expand
Kidney and uro-trauma: WSES-AAST guidelines
The aim of this paper is to present the World Society of Emergency Surgery and the American Association for the Surgery of Trauma (AAST) kidney and urogenital trauma management guidelines. Expand
Inter-rater reliability in the radiological classification of renal injuries
The finding of substantial IRR amongst radiologists and urologists utilizing the AAST system supports continued use of the broad parameters of the Aast system, with some modification in specific categories with lower agreement. Expand
Acute Management of the Traumatically Injured Pelvis.
This article explores this complex clinical problem and provides a practical approach to its management and explores the role of endovascular balloon occlusion of the aorta in severe pelvic trauma. Expand
The American Association for the Surgery of Trauma (AAST) Renal Injury Grading Scale: Implications of the 2018 Revisions for Injury Reclassification and Predicting Bleeding Interventions.
Although the 2018-Aast grading provides more anatomic details on injury patterns and includes important radiologic findings, it did not outperform the 1989-AAST grading in predicting bleeding interventions and adds to the heterogeneity of grade IV injuries. Expand
Is computed tomography cystography indicated in children with pelvic fractures?
The vast majority of blunt pediatric trauma victims with pelvic fractures do not have urine bladder injuries and the routine utilization of CT cystography in this unique population is not recommended. Expand
Genetically‐modified bone mesenchymal stem cells with TGF‐&bgr;3 improve wound healing and reduce scar tissue formation in a rabbit model
Investigation of the therapeutic effect of bone mesenchymal stem cells that were genetically modified to overexpress transforming growth factor‐beta 3 on full‐thickness cutaneous wound healing in a rabbit model concluded that transplantation of BMSCsTGF‐&bgr;3 remarkably improves wound healing and reduces skin scar tissue formation in an animal model. Expand


Urotrauma: AUA guideline.
Genitourinary organ salvage has become increasingly possible as a result of advances in imaging, minimally invasive techniques, and reconstructive surgery and clinicians must strive to approach clinical problems in a creative, multidisciplinary, evidence-based manner to ensure optimal outcomes. Expand
Review of the current management of upper urinary tract injuries by the EAU Trauma Guidelines Panel.
Renal injuries are best managed conservatively or with minimally invasive techniques, according to the nature and severity of their injury. Expand
Review of the current management of lower urinary tract injuries by the EAU Trauma Guidelines Panel.
A summary of the 2014 version of the EAU guidelines on urologic trauma of the lower urinary tract with an emphasis on diagnosis and treatment is presented to minimise long-term urinary symptoms and sexual dysfunction. Expand
Penetrating renovascular trauma.
The experience and a review of the literature suggest that nephrectomy still is the most expeditious method of management of renal vascular injuries and that renal vein injuries carry a better prognosis. Expand
[Iatrogenic ureteral injury].
In cases of iatrogenic injuries of the distal third of the ureter with severe lesions, Ureteral reimplantation with a Boari's flap may be the option. Expand
Outcome after major renovascular injuries: a Western trauma association multicenter report.
Factors associated with a poor outcome following renovascular injuries include blunt trauma, the presence of a grade V injury, and an attempted arterial repair. Expand
Primary realignment vs suprapubic cystostomy for the management of pelvic fracture-associated urethral injuries: a systematic review and meta-analysis.
PR appears to reduce the incidence of stricture formation after pelvic fracture-associated posterior urethral injuries as compared with SPC, and was significantly lower in the PR group than the SPC group. Expand
The natural history of traumatic branch renal artery injury.
Patients who sustain branch renal artery injuries should be managed nonoperatively unless they exhibit cardiovascular instability, andcision of ischemic parenchyma is indicated only when intractable hypertension associated with increased renin secretion can be identified. Expand
Late Presentation of Ureteral Injury After Laparoscopic Surgery
Delayed recognition of ureteral injury after gynecologic laparoscopy was associated with serious complications, and initial treatment with ureTERal stenting was not useful, and early open repair for those injuries is advocated. Expand
Straddle injuries to the bulbar urethra: management and outcome in 53 patients.
  • M. Elgammal
  • Medicine
  • International braz j urol : official journal of the Brazilian Society of Urology
  • 2009
Stricture excision and re-anastomosis is better than VIU as delayed management for strictures that develop after straddle injury to the bulbar urethra. Expand