Contemporary evaluation and management of renal trauma

Jyoti D. Chouhan, Andrew G. Winer, Christina Johnson, Jeffrey P. Weiss, Llewellyn M. Hyacinthe

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

Introduction: Renal trauma occurs in approximately 1%-5% of all trauma cases. Improvements in imaging and management over the last two decades have caused a shift in the treatment of this clinical condition. Materials and methods: A systematic search of PubMed was performed to identify relevant and contemporary articles that referred to the management and evaluation of renal trauma. Results: Computed tomography remains a mainstay of radiological evaluation in hemodynamically stable patients. There is a growing body of literature showing that conservative, non-operative management of renal trauma is safe, even for Grade IV-V renal injuries. If surgical exploration is planned due to other injuries, a conservative approach to the kidney can often be utilized. Follow up imaging may be warranted in certain circumstances. Urinoma, delayed bleeding, and hypertension are complications that require follow up. Conclusion: Appropriate imaging and conservative approaches are a mainstay of current renal trauma management.

Original languageEnglish (US)
Pages (from-to)8191-8197
Number of pages7
JournalCanadian Journal of Urology
Volume23
Issue number2
StatePublished - 2016
Externally publishedYes

Keywords

  • Evaluation
  • Management
  • Renal
  • Trauma

ASJC Scopus subject areas

  • Urology

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