Genitourinary trauma
Upper Tract Injuries (kidney + ureter)
- Majority of blunt trauma injuries present w/ hematuria
- Renal pedicle injuries and penetrating injuries to ureter may not cause hematuria
- Renal injuries are a/w flank hematoma, lower rib fx, penetrating wounds to flanks
Diagnosis
- Who to image?
- Penetrating Trauma
- Any degree of hematuria
- Blunt Trauma
- Gross hematuria
- Hypotension and any degree of hematuria
- Child with >50rbc/HPF
- High index of suspicion for renal trauma
- Deceleration injuries even with no hematuria
- Multiple trauma pt
- Penetrating Trauma
Renal Injuries
Ureter Injuries
Lower Tract Injuries (bladder + urethra + genitalia)
- Often accompany pelvic fracture
Bladder Injury
Urethral Injury
Testicular Injury
Penile Injury
Vaginal Injury
Source
Tintinalli