Renal Trauma Questions & Answers

Updated: Jan 01, 2019
  • Author: Dennis G Lusaya, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Questions & Answers

Overview

What is renal trauma?

What is the most common cause of renal trauma?

What is the prevalence of renal trauma?

What causes renal trauma?

How is renal trauma diagnosed?

When is surgery indicated in the treatment of renal trauma?

What is the anatomy of the kidney relevant to renal trauma?

What are the contraindications to surgery for renal trauma?

Presentation

Which clinical history findings are characteristic of renal trauma?

Workup

What is the role of urinalysis in the workup of renal trauma?

What is the role of IVP in the workup of renal trauma?

What are advantages of IVP in the workup of renal trauma?

What are disadvantages of IVP in the workup of renal trauma?

What is the role of CT scanning in the workup of renal trauma?

What are advantages of CT scanning in the workup of renal trauma?

What are disadvantages of CT scanning in the workup of renal trauma?

What is the role of angiography in the workup of renal trauma?

What are advantages of angiography in the workup of renal trauma?

What are disadvantages of angiography in the workup of renal trauma?

What is the role of ultrasonography in the workup of renal trauma?

What are advantages of ultrasonography in the workup of renal trauma?

What are disadvantages of ultrasonography in the workup of renal trauma?

When is interoperative diagnosis of renal trauma necessary?

When is imaging indicated in renal trauma?

What is the role of gross hematuria in the diagnosis of renal injury?

What is the role of microscopic hematuria and shock in the diagnosis of renal injury?

How is renal trauma diagnosed following a deceleration injury?

How is renal injury diagnosed in children?

What are associated injuries of renal trauma?

How is renal trauma graded?

Treatment

How is renal trauma treated?

When is nonoperative treatment indicated for renal trauma?

What are the nonoperative treatments for renal trauma?

When is imaging indicated following the nonoperative treatment of renal trauma in children?

What is the role of surgery in the treatment of renal trauma?

What is the role of exploratory surgery in the treatment of renal trauma?

What is the role of urinary extravasation in the treatment of renal trauma?

How is renal injury managed following incomplete staging?

How is arterial thrombosis treated in renal trauma?

How is penetrating renal trauma treated?

What is the initial treatment for renal trauma?

Which techniques are used for renal exploration and repair of traumatic injuries?

How is renal reconstruction performed following a traumatic injury?

What is the role of nephrectomy in the treatment of renal trauma?

What is the role of partial nephrectomy in the treatment of renal trauma?

What are postoperative details for renal trauma?

What are the possible complications of renal trauma?

What are the early complications after renal trauma?

What are the late complications after renal trauma?

What is the prognosis of renal trauma?

What is the role of preoperative IVP in the treatment of penetrating renal trauma?

What is the role of central vascular control in the treatment of renal trauma?

What is the prevalence of renal trauma-related hypertension?

How is a nonperfused kidney treated following renal trauma?

What is the optimal treatment for renal trauma?

Guidelines

What are the AUA guidelines on the treatment of renal trauma?