Combined penetrating rectal and genitourinary injuries: a challenge in management.

  title={Combined penetrating rectal and genitourinary injuries: a challenge in management.},
  author={Edward Franko and Rao R. Ivatury and D M Schwalb},
  journal={The Journal of trauma},
  volume={34 3},
The standard management of penetrating rectal trauma consists of perioperative antibiotics, a diverting colostomy, and presacral drainage. While providing optimal results in isolated rectal trauma, this management scheme is inadequate in combined penetrating rectal and genitourinary (GU) tract injuries. A review of more than 200 cases of penetrating rectal trauma from our institution over a 13-year period identified 17 concomitant GU tract injuries (13 bladder, three urethral, and one ureteral… CONTINUE READING


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