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Updated: Jul 11, 2025
05:25
Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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The Japanese Urological Association's clinical practice guidelines for urotrauma 2023
Akio Horiguchi1,2, Masayuki Shinchi1, Kenichiro Ojima1
1Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan.
Summary
This study presents updated Japanese guidelines for diagnosing and treating urotrauma, including renal, ureteral, bladder, urethral, and genital injuries. The recommendations aim to standardize care and improve patient outcomes in trauma cases.
Area of Science:
- Urology
- Trauma Surgery
- Clinical Practice Guidelines
Background:
- The Japanese Urological Association's 2016 renal trauma guidelines have been revised.
- New guidelines address overall urotrauma, encompassing iatrogenic injuries.
Purpose of the Study:
- To establish standardized diagnostic and treatment recommendations for urotrauma.
- To preserve organ function and minimize complications and fatalities.
Main Methods:
- A multidisciplinary committee developed 30 clinical questions across four domains: renal/ureteral, bladder, urethral, and genital trauma.
- An extensive literature search was conducted from 1983 to 2020.
- Evidence grading followed the 2007 Minds Handbook due to limited high-level studies.
Main Results:
- Guidelines cover diagnosis and treatment for various urotrauma types.
- Recommendations are based on expert consensus due to scarcity of randomized controlled trials and meta-analyses.
Conclusions:
- The updated guidelines provide a crucial resource for clinicians managing urotrauma.
- Standardized care aims to improve functional outcomes and reduce mortality in patients with urotrauma.
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