In up to 10% of patients who experience abdominal trauma, renal and urogenital systems will be involved. In polytrauma patients with other potentially life-threatening injuries, renal and genitourinary trauma may be overlooked initially, but a delayed or missed diagnosis of these injuries may result in preventable complications. This review provides a best-practice approach to the diagnosis and management of renal and genitourinary injuries, with an emphasis on the systematic approach needed to identify subtle injuries and avoid long-term urinary sequelae such as hypertension, incontinence, erectile dysfunction, chronic kidney disease, and nephrectomy. [Points & Pearls is a digest of Emergency Medicine Practice.].
Emergency medicine practice. 2017 Aug 22*** epublish ***
Whitney K Bryant, Sanjay Shewakramani, Milana Zaurova
Assistant Professor, Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH., Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.