DR. ASHFAQ AHMAD UROLOGIST

Genito Urinary Tract Trauma

Different Mechanism of Trauma

Penetrating Injuries Non Penetrating/ Blunt Trauma

Accelerating / Decelerating Rotational / Stretch Mechanism

Blast Injuries Chemical Injuries Thermal Injuries

Renal Trauma

Types of Trauma Penetrating Blunt

Grades of Renal Trauma 1:2:3 Minor Injuries 4: 5 Major Injuries

Clinical Presentation

1. Flank Pain (Vomiting)2. Generalized pain Abdomen 3. Haematuria4. Abdominal Distention secondary to illus

Inspection

Flank Bruising Echymosis

On Palpation Tenderness Flank Mass

On Auscultation absent bowel sounds DPL

Investigations

Blood CPUrine R/E Serum Creatinine X-Ray

Chest Abdomen Pelvis

USG IVU (Intravenous Urography )Abdominal CT-ScanArteriography

Complications of Renal Trauma

Urinoma Hematoma Peri-Nephric Abscess. Hydronephrosis Arterio-Venous Fistula Renal Stones

Treatment

1. Emergency Measures Airway Breathing Circulation Deformity Environment

2. Blunt Injuries Minor renal Injuries General, Critical care charting Major Renal Injuries

3. Penetrating Injuries

4. Treatment of Complications

Urinoma Hematoma Perinephric Abscess Renal Hypertention A.V Fistula Renal Stones