An update on urotrauma

  title={An update on urotrauma},
  author={Daniel M. Stein and Richard A 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… 
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.
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.
Acute Management of the Traumatically Injured Pelvis.
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.
Is computed tomography cystography indicated in children with pelvic fractures?


Urotrauma: AUA guideline.
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.
[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.
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.
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.