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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...

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Updated: May 9, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Damage control maneuvers for urologic trauma.

Thomas G Smith1, Michael Coburn

  • 1Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030, USA. tgsmith@bcm.edu

The Urologic Clinics of North America
|August 3, 2013
PubMed
Summary
This summary is machine-generated.

Critically injured patients with genitourinary trauma can benefit from a damage control strategy. This approach allows for intraoperative diagnosis and management of renal, ureteral, bladder, urethral, and genital injuries.

Keywords:
Bladder injuryDamage controlGenital injuryRenal injuryUreter injuryUrine extravasation

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Published on: November 22, 2019

Area of Science:

  • Trauma Surgery
  • Urology
  • Critical Care Medicine

Background:

  • Genitourinary (GU) system trauma is a significant concern in critically injured patients.
  • Management often involves intraoperative diagnosis due to limited preoperative evaluation.

Purpose of the Study:

  • To outline the evaluation and management strategies for genitourinary trauma in critically injured patients.
  • To emphasize the utility of a damage control approach for GU injuries.

Main Methods:

  • Discussion of damage control principles applied to GU trauma.
  • Review of specific management techniques for injuries to the kidneys, ureters, bladder, urethra, and genitalia.
  • Emphasis on intraoperative diagnosis and staging.

Main Results:

  • A damage control strategy is effective for managing diverse genitourinary injuries in critical trauma.
  • Timely intraoperative assessment facilitates appropriate surgical intervention.
  • Specific organ-based management protocols can be successfully implemented.

Conclusions:

  • Damage control surgery is a viable and effective strategy for genitourinary trauma in the critically ill.
  • Intraoperative management, often without extensive preoperative workup, is feasible and crucial.
  • Organ-specific management plans are essential for optimal patient outcomes.