[Clinical experience in the diagnosis and treatment of kidney trauma]

Kidney trauma belongs to the rarely arising urological illnesses. In recent years guidelines for the treatment of urological injuries have been compiled by the Société Internationale d'Urologie (SIU) and the European Association of Urology (EAU). In the current literature increasingly more meaning is granted to a conservative in relation to a surgical therapy procedure, also with grade 4 and 5 kidney injuries.

From 2002 to 2009, 83 patients with kidney injuries were treated in our hospital. There were 56 patients with grade 1 and grade 2 injuries, 12 patients with grade 3 and grade 4 injuries, and in addition, a total of 15 patients with a grade 5 injury.

In 75% of the cases a conservative procedure could be arranged depending on the further clinical course. In 25% of the cases, however, relative and/or absolute indications for operative intervention stood in the foreground, so that this group had an exploratory laparotomy. In 7 cases total nephrectomy had to be performed; however, in 11 cases organ-preserving surgery was possible.