Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Urogenital trauma: imaging upper GU trauma.

Stanford M Goldman1, Carl M Sandler

  • 1Department of Radiology, The University of Texas Medical School at Houston, 6431 Fannin-MSB2.100, Houston, TX 77030, USA. Stanford.M.Goldman@uth.tmc.edu

European Journal of Radiology
|April 20, 2004
PubMed
Summary

Upper urinary tract trauma management is evolving, favoring conservative approaches for most renal injuries. Advanced imaging like CT scans improves diagnosis, while surgery is reserved for severe cases or vascular complications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Skeletal muscle metastases: a three-part study of a not-so-rare entity.

Skeletal radiology·2011
Same author

Significance of upper urinary tract urothelial thickening and filling defect seen on MDCT urography in patients with a history of urothelial neoplasms.

AJR. American journal of roentgenology·2010
Same author

Invited commentary.

Radiographics : a review publication of the Radiological Society of North America, Inc·2010
Same author

Imaging and staging of transitional cell carcinoma: part 1, lower urinary tract.

AJR. American journal of roentgenology·2009
Same author

Imaging and staging of transitional cell carcinoma: part 2, upper urinary tract.

AJR. American journal of roentgenology·2009
Same author

Papillary renal cell carcinoma: radiologic-pathologic correlation and spectrum of disease.

Radiographics : a review publication of the Radiological Society of North America, Inc·2009

Area of Science:

  • Urology
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Upper urinary tract trauma presents complex diagnostic and management challenges.
  • Controversies exist regarding classification, clinical presentation, and treatment strategies.
  • A 32-year experience informs current understanding of renal trauma management.

Purpose of the Study:

  • To define current controversies and concepts in upper urinary tract trauma.
  • To review classification, clinical presentation, imaging, and management.
  • To highlight exceptions and unusual presentations of renal trauma.

Main Methods:

  • Review of a 32-year author experience in renal trauma.
  • Analysis of current literature and expert opinion.

Related Experiment Videos

  • Discussion of diagnostic imaging modalities and their utility.

    • Main Results:

    • Significant renal trauma is indicated by gross hematuria, shock, or severe injury signs.
    • Most suspected renal injuries are evaluated alongside intraperitoneal injuries.
    • Conservative management is now widely advocated for renal trauma.

    Conclusions:

    • Conservative management is preferred unless instability, vascular thrombosis, or avulsion is present.
    • Penetrating renal trauma does not mandate automatic surgery.
    • Computed tomography (CT) is the preferred imaging; Intravenous pyelography (IVP) is an alternative; Ultrasound has limitations.