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Emerg Med Pract. 2017 Aug;19(8):1-20.

Emergency management of renal and genitourinary trauma: best practices update

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Assistant Professor, Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH


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.


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