“Urologic injury often occurs in the context of severe multisystem trauma that requires close cooperation with trauma surgeons. The urologist remains an important consultant to the trauma team, helping to ensure that the radiographic evaluation of urogenital structures is performed efficiently and accurately, and that the function of the genitourinary system is preserved whenever possible. Immediate interventions for acute urologic injuries often require flexibility in accordance with damage control principles in critically ill patients. In treating urotrauma patients, urologists must be familiar with both open surgical techniques and minimally invasive techniques for achieving hemostasis and/or urinary drainage.”

“As the field of genitourinary reconstruction continues to evolve, clinicians must strive to approach clinical problems in a creative, multi-disciplinary, evidence-based manner to ensure optimal outcomes. Further research is needed to clarify which radiographic indicators of renal injuries can be used to facilitate selection of appropriate candidates for angiographic embolization.”

Morey AF, et al 3rd et al: Urotrauma: AUA guideline. J Urol 2014, 192: 327.