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Trauma in pediatric urology.

Georg Singer1, Christoph Arneitz1, Sebastian Tschauner2

  • 1Department of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria.

Seminars in Pediatric Surgery
|August 20, 2021
PubMed
Summary
This summary is machine-generated.

Pediatric urinary tract injuries most often involve the kidney, with most cases managed non-surgically. Other urinary tract injuries are rare and typically seen in severely injured children.

Keywords:
Bladder InjuryChildrenRenal InjuryRenal Vascular InjuryUreteral InjuryUrethral Injury

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Area of Science:

  • Pediatric surgery
  • Urology
  • Trauma surgery

Background:

  • The kidney is the most frequently injured organ in the pediatric urinary tract following trauma.
  • Renal trauma accounts for 10-20% of blunt abdominal trauma in children.
  • Most pediatric renal injuries are managed conservatively.

Purpose of the Study:

  • To provide an overview of traumatic injuries to the pediatric urinary system.

Main Methods:

  • Literature review
  • Clinical case review
  • Surgical outcomes analysis

Main Results:

  • The majority of pediatric renal injuries are treated non-operatively.
  • Hemodynamically unstable patients with renal trauma require surgical intervention.
  • Ureteral, bladder, or urethral injuries are uncommon and primarily occur in polytraumatized children.

Conclusions:

  • Conservative management is effective for most pediatric renal injuries.
  • Surgical intervention is reserved for hemodynamically unstable cases.
  • Injuries to other urinary tract organs are rare and associated with severe trauma.