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Colegio de Medicos y Cirujanos República de Costa Rica

2016, Number 620

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Rev Med Cos Cen 2016; 73 (620)

Trauma del tracto urinario inferior

Córdoba VF

Language: Spanish
References: 10
Page: 497-499
PDF size: 141.88 Kb.


ABSTRACT

This articles´ main objective is to identify the main causes of lower urinary tract injury, their clinical presentation, diagnosis and treatment. Urologic trauma is infrequent but when present has important repercussions y morbidity and mortality. Bladder injuries are associated with pelvis fracture and its characteristic clinical sign is hematuria. There are different diagnostic approaches such as cystography, laparotomy and CT scan. Management depends on the site of injury. Urethral injuries are most likely to appear in men with pelvic fracture. The gold standard for diagnosis is urography and management depends on the site of injury


REFERENCES

  1. Aihara, Rie, et al. “Fracture Locations Influence the Likelihood of Rectal and Lower Urinary Tract Injuries in Patients Sustaining Pelvic Fractures.” Journal of Trauma- Injury Infection & Critical Care 52.2 (2002): 205-209.

  2. Bhanot, Ashish and Bhanot, Arun. “Laparoscopic Repair in Intraperitoneal Rupture of Urinary Bladder in Blunt Trauma Abdomen.” Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 17.1 (2007): 58-59.

  3. Greenfield, Lazar J., and Michael W. Mulholland. Greenfield’s Surgery: Scientific Principles and Practice. Philadelphia, PA: Lippincott Williams & Wilkins, 2006. Print

  4. Kommu, Sashi, Illahi, Ihsan and Mumtaz, Faiz. “Patterns of urethral injury and immediate management.” Current Opinion in Urology 17.6 (2007): 383-389.

  5. Kong, Jennifer P. L, Matthew F. Bultitude, Peter Royce, Russell L. Gruen, Alex Cato, and Niall M. Corcoran. “Lower Urinary Tract Injuries Following Blunt Trauma: A Review of Contemporary Management.” Reviews in Urology. MedReviews, LLC, n.d. Web. 06 Aug. 2015.

  6. Morey, Allen, et al. “Bladder Rupture after Blunt Trauma: Guidelines for Diagnostic Imaging.” Journal of Trauma-Injury Infection & Critical Care 51.4 (2001): 683-686.

  7. Parry, Neil, et al. “Traumatic Rupture of the Urinary Bladder: Is the Suprapubic Tube Necessary?” Journal of Trauma-Injury Infection & Critical Care 54.3 (2003): 431- 436.

  8. Schwartz, Seymour I., and F. Charles. Brunicardi. Schwartz’s Manual of Surgery. New York: McGraw-Hill Medical Pub. Division, 2006. Print.

  9. Shlamovitz, Gil, McCullough, Lynne and MD, FACEP. “Blind Urethral Catheterization in Trauma Patients Suffering From Lower Urinary Tract Injuries.” Journal of Trauma-Injury Infection & Critical Care 62.2 (2007): 330-335.

  10. Stein, Daniel and Santucci, Richard. “An update on urotrauma.” Current Opinion in Urology 25.4 (2015): 323-330.




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