Genitourinary tract trauma

1,123 views

Published on

Published in: Education
0 Comments
8 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,123
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
77
Comments
0
Likes
8
Embeds 0
No embeds

No notes for slide

Genitourinary tract trauma

  1. 1. GENITOURINARY TRACT  TRAUMA  Héctor Eduardo Velázquez  Domínguez 
  2. 2. KIDNEY INJURY 
  3. 3. Kidney Injury •  Usually accompanied by mulJsystem trauma •  Work, sport, car accident •  ContusionlaceraJon/renal pedicule fracture 
  4. 4. Clinical manifestaJons •  Hematuria •  Pain and hypersensiJvity •  Palpable mass 
  5. 5. Imaging study •  RxRetroperitoneal hematoma/urinary  extravasaJon •  Excretory urogram •  TAC with IV contrast 
  6. 6. ComplicaJons/TX •  Hemorrhage/shockstop bleeding and  volume replacement •  Progressive hydronephrosis •  Abscess 
  7. 7. URETER INJURY 
  8. 8. Ureter injury Iatrogenic: •  Pelvic surgery   PenetraJng trauma 
  9. 9. Clinical manifestaJon •  Anuria and oliguria •  Ileus •  Pain •  Drainage to adjacent  structures •  ¡Hydronephrosis! 
  10. 10. Dx  •  Excretory urogram  •  Retrograde  uretherography  •  ECO  •  TAC 
  11. 11. Tx Ureteral division: •  Ureteroureterostomía •  Neoureterocistostomía •  Transureteroureterostom ía Ureteral resecJon •  Ureteral replacement •  Tie bladder to psoas •  Autotransplant •  IntesJnal 
  12. 12. BLADDER INJURY 
  13. 13. Bladder injury •  Direct trauma •  Pelvic fracture •  Pelvic surgery •  Cystoscopy •  Intraperitoneal (40%) •  Extraperitoneal (54%) 
  14. 14. Clinical manifestaJon  •  Suprapubic pain  •  Hematuria  •  Inhability to urinate  •  Intraperitoneal=peritoni Js 
  15. 15. Dx/Tx •  Rx •  Cystography •  Excretory urogram •  Surgery 
  16. 16. URETRA INJURY 
  17. 17. Uretra injury •  Anterior or posterior •  Hematuria, pain,  inhability to urinate •  Hematoma, InfecJon,  fibrosis, erecJle  dysfuncJon 
  18. 18. THANK YOU 

×