Lower Urinary Tract Injuries Following Blunt Trauma: A Review of Contemporary Management

Reviews in Urology

Matthew F Bultitude³  Niall M Corcoran¹  Alex Cato³  Peter Royce³  Russell L Gruen²  Jennifer P. L Kong³ 

[1] Department of Surgery, Royal Melbourne Hospital, University of Melbourne, Victoria, Australia;National Trauma Research Institute & Trauma Service, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia;Department of Urology, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia

关键词: Multiple trauma;    Rupture;    Urethra;    Urinary bladder;    Wounds;    nonpenetrating;   

DOI  :  

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

Lower urinary tract trauma, although relatively uncommon in blunt trauma, can lead to significant morbidity when diagnosed late or left untreated; urologists may only encounter a handful of these injuries in their career. This article reviews the literature and reports on the management of these injuries, highlighting the issues facing clinicians in this subspecialty. Also presented is a structured review detailing the mechanisms, classification, diagnosis, management, and complications of blunt trauma to the bladder and urethra. The prognosis for bladder rupture is excellent when treated. Significant intraperitoneal rupture or involvement of the bladder neck mandates surgical repair, whereas smaller extraperitoneal lacerations may be managed with catheterization alone. With the push for management of trauma patients in larger centers, urologists in these hospitals are seeing increasing numbers of lower urinary tract injuries. Prospective analysis may be achieved in these centers to address the current lack of Level 1 evidence.

【 授权许可】

Unknown