[Urinary tract trauma: anatomo-lesional, etiological and clinical considerations].

UNLABELLED: Urinary tract injuries are rare lesions and account for about 3%, of all injuries and 10% of abdominal trauma injuries. The aim of this study is to review retrospectively a series of patients with urinary tract injuries treated in a general surgery clinic.

MATERIAL AND

METHODS

A series of 41 consecutive patients with urinary tract trauma who hospitalized in Surgery Clinic of "St. John" Hospital of Iaşi during a 7 years period (January 2002 - December 2008). The main analyzed variable was age, mechanism of injury, anatomical site of injury, associated injuries, and methods of treatment, morbidity and mortality.

RESULTS

Urinary tract injuries accounted for 3.2% of all abdominal trauma injuries. Adults males were more affected with 90.2% of cases. Traffic road accident and falls represented over 50% of cases. Renal trauma were present in 73.7% of cases, and associated lesions were present in all cases. Conservative treatment was applied for 24 patients (58.5%), nephrectomy (total or partial) was performed in 9 cases, suture of the urethra 1 case, suture of the urinary bladder 5 cases and cystostomy in 3 cases. Conservative treatment failed in 24 cases (58.5%), urinary complications were present in 8 patients (19.5%) and one patient died due to associated lesions.

CONCLUSIONS

Urinary tract injuries are rarely encountered in trauma settings, to a high index of suspicion is necessary to establish the diagnosis. Renal trauma is the most fervently lesions and conservative treatment represent feasible solution for these.