University of Pretoria

DR. K.K. IJANE

 RENAL AND UROGENITAL TRAUMA 

OUTLINE

• ANATOMY• RENAL INJURY • URETERIC INJURY• BLADDER INJURY• URETHAL INJURY• PENILE INJURY• TESTICULAR INJURY

KUB

KIDNEY

BLADDER & URETHRA

PLEVIS & URETHRA

TRAUMA 

ATLS PRINCIPLES

DIAGNOSIS

• HISTORY• TIME• SETTING• PAST RENAL SURGERY• KNOWN RENAL ABNORMALITIES• ASSOCIATED INJURIES

  (safety first, both to EMS and patient)

MECHANISM OF INJURY

• BLUNT TRAUMA–MVA– FALL FROM HEIGHTS

• PENETRATING INJURY– GSW– KNIFE

• IATROGENIC INJURIES

GRADING

GRADING

IMAGING

IMAGING

IMAGING

ANGIOGRAM

INTRAVENOUS PYELOGRAM

URETERIC INJURY

URETERIC INJURY

IVP

BLADDER INJURY

BLADDER INJURY

BLADDER INJURY(extraperitoneal)

BLADDER INJURY (intra-peritoneal)

URETHRAL INJURY

URETHRAL INJURY

URETHRAL INJURY

PENILE INJURY

RACCOON WALRUS

PENILE FRACTURE

PENILE INJURY

PENILE INJURY

PENILE INJURYY

TESTICULAR INJURY

TESTICULAR INJURY

• PENETRATING

• BLUNT– Disruption of tunica

(immunogenic infertility)

THANK YOU

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