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Delayed Nephron Sparing Surgery for Grade IV Renal Injury
Parth K Shah1, Ryan W Frieben, Rowena A Desouza
1Department of Urology, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA.
Case Reports in Urology
|June 14, 2013
Summary
This case study highlights a delayed nephron sparing surgery for a persistent urinoma after renal trauma. It suggests an alternative to immediate total nephrectomy for managing complex renal injuries.
Area of Science:
- Trauma surgery
- Nephrology
- Urology
Background:
- Renal injuries are frequent in trauma patients.
- Conservative management is standard, with emergency nephrectomy for operative cases.
- Delayed nephron sparing approaches are underreported.
Purpose of the Study:
- To present a unique case of delayed nephron sparing nephrectomy.
- To address the management of persistent urinoma after renal trauma.
Main Methods:
- Case report of a 29-year-old male with renal trauma.
- Delayed nephron sparing nephrectomy performed for persistent urinoma.
- Noninvasive therapies were attempted prior to surgery.
Main Results:
- Successful delayed nephron sparing nephrectomy was performed.
- Persistent urinoma resolved post-operatively.
Conclusions:
- Delayed nephron sparing nephrectomy is a viable option for managing persistent urinomas.
- This approach may be an alternative to immediate total nephrectomy in select renal trauma cases.
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