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  • Trauma Urogenital Sgo

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    Aldania
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    This document discusses trauma to the urogenital system. It begins by stating that urogenital trauma occurs in 2-5% of trauma cases and 10% of those patients require cooperation between general and urologic surgeons. It then describes clinical presentations such as hematuria from flank trauma. Diagnostic tests include urinalysis, renal function tests, hemoglobin levels, intravenous pyelogram, and CT scan of the abdomen. Renal injuries are classified from Grade 1 to 5 based on their severity. Grade 3 or higher or those with persistent bleeding or expanding hematomas typically require operative management. Complications of renal, bladder, and urethral trauma can include bleeding, urinomas, peri-renal abscesses

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    This document discusses trauma to the urogenital system. It begins by stating that urogenital trauma occurs in 2-5% of trauma cases and 10% of those patients require cooperation between general and urologic surgeons. It then describes clinical presentations such as hematuria from flank trauma. Diagnostic tests include urinalysis, renal function tests, hemoglobin levels, intravenous pyelogram, and CT scan of the abdomen. Renal injuries are classified from Grade 1 to 5 based on their severity. Grade 3 or higher or those with persistent bleeding or expanding hematomas typically require operative management. Complications of renal, bladder, and urethral trauma can include bleeding, urinomas, peri-renal abscesses

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    34 views22 pages

    Trauma Urogenital Sgo

    Uploaded by

    Aldania
    This document discusses trauma to the urogenital system. It begins by stating that urogenital trauma occurs in 2-5% of trauma cases and 10% of those patients require cooperation between general and urologic surgeons. It then describes clinical presentations such as hematuria from flank trauma. Diagnostic tests include urinalysis, renal function tests, hemoglobin levels, intravenous pyelogram, and CT scan of the abdomen. Renal injuries are classified from Grade 1 to 5 based on their severity. Grade 3 or higher or those with persistent bleeding or expanding hematomas typically require operative management. Complications of renal, bladder, and urethral trauma can include bleeding, urinomas, peri-renal abscesses

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    of 22

    TRAUMA UROGENITAL

    Sigit Wijanarko
    Departemen Bedah FK Unusa – RS Islam Surabaya
    Pendahuluan
    • Trauma urogenital terjadi pada 2-5% kejadian trauma 
    10 % pasien nya memerlukan kerjasama bedah umum
    dan bedah urologi
    Traktus Urogenital
    Klinis
    • MOI : trauma tembus atau tumpul didaerah flank.
    • Keluhan : hematuria
    • Pemeriksaan fisik : hematome, massa, dan nyeri
    pada daerah kostovertebra
    Sleeve Hematom
    Butterfly Hematom
    Floating Prostat
    Pemeriksaan Penunjang
    • Urinalisis, Renal Function Test (BUN & serum
    kreatinin),hemoglobin
    • IVP, Uretrografi, CT scan abdomen
    Miller KS, McAninch JW: Radiographic assessment of renal trauma: Our
    15-year experience. J Urol 154:352, 1995.
    Nicolaisen GS, McAninch JW, Marshall GA, et al.: Renal trauma: Reevaluation of
    the indications for radiographic assessment. J Urol 133:183, 1985.
    Nicolaisen GS, McAninch JW, Marshall GA, et al.: Renal trauma: Reevaluation of
    the indications for radiographic assessment. J Urol 133:183, 1985.
    Nicolaisen GS, McAninch JW, Marshall GA, et al.: Renal trauma: Reevaluation of
    the indications for radiographic assessment. J Urol 133:183, 1985.
    Miller KS, McAninch JW: Radiographic assessment of renal trauma: Our
    15-year experience. J Urol 154:352, 1995.
    Classification of Renal Injury
    (Am. Assn. for Surgery of Trauma)
     Grade 1 or 2 :Conservative
     Grade 3 or 4 : relative expl
     Grade 5 :Open exploration

    Operative Management
    Absolute Indications
    – Persistent bleeding
    – Expanding hematoma
    – Pulsatile hematoma

     Relative Indications
    – Urinary extravasation
    – Nonviable tissue
    – Delayed diagnosis,
    - Segmental artery injury
    – Incomplete staging

    DSTC 2015
    Peterson NE: Genitourinary trauma. In Mattox KL, Feliciano DF, Moore EE
    (eds): Trauma, 4th ed. New York: McGraw Hill, 2000, p. 839.
    PENYULIT TRAUMA
    GINJAL
    AWAL
    • PERDARAHAN
    • URINOMA
    • ABSES PERI RENAL
    • UROSEPSIS
    • FISTULA RENOKUTAN

    LATE
    • HIPERTENSI
    • HIDRONEFROSIS
    • UROLITHIASIS
    • PYELONEFRITIS KRONIK
    Peterson NE: Genitourinary trauma. In Mattox KL, Feliciano DF, Moore EE
    (eds): Trauma, 4th ed. New York: McGraw Hill, 2000, p. 839.
    Hayes EE, Sandler CM, Corriere JN Jr: Management of the ruptured bladder
    secondary to blunt abdominal trauma. J Urol 129:946, 1983.
    PENYULIT TRAUMA BULI
    • MULTI ORGAN TRAUMA
    • ABSES PERIVESIKA
    • PERITONITIS
    • IRRITABLE BLADDER

    Hayes EE, Sandler CM, Corriere JN Jr: Management of the ruptured bladder
    secondary to blunt abdominal trauma. J Urol 129:946, 1983.
    PENYULIT TRAUMA
    URETRA
    • STRIKTURA URETRA
    • DISFUNGSI EREKSI
    • INKONTINENTIA URINE.

    Peterson NE: Genitourinary trauma. In Mattox KL, Feliciano DF, Moore EE


    (eds): Trauma, 4th ed. New York: McGraw Hill, 2000, p. 839.

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