The Authors describe their limited but significant experience (101 cases) regarding the diagnostic and therapeutic approach to patients with multiple traumas with involvement of the urogenital tract. Approach to the renal trauma in these patients appears to be highly controversial. Experience has shown that in cases of severe renal trauma, when the urologist is called immediately to visit the patient so that a complete and correct urological diagnostic procedure can be planned, the possibilities of conservative treatment to save the kidney are greater.
BasileA.: Il chirurgo di fronte al politraumatizzato. Atti Soc. It. Chir. 73° Congresso, Napoli 18–20 ottobre, 1971.
2.
CassA.S.BubrickM.LuxenbergM.ComfortT.: Renai trauma during laparatomy for intra-abdominal injury. J. Trauma, 25: 997–1001, 1985.
3.
CarrollP.R.McAninchJ.W.: Staging of renal trauma. Clin. North Am., 16: 193–201, 1989.
4.
ChengD.L.-W., LazanD.: Conservative treatment of type IIIo renal trauma. J. Trauma, 491–494, 36 April 1994.
5.
HerschornS.RadomskiS.B.ShokesD.A.MahoneyJ.HirshbergE.KlotzI.: Evaluation and treatment of blunt renal trauma. J. Urol., 146: 274–277, 1991.
6.
BertiniJ.E.FlechnerS.M.MillerP.Ben-McnachemY.FischerR.P.: The natural history of traumatic branch renal artery injury. J. Urol., 135: 228–230, 1986.
7.
CassA.S.: Renovascular injuries from external trauma: diagnosis, treatment and outcome. Urol. Clin. North Am., 16(2): 213–220, 1989.
8.
CassA.S.BubrickM.LuxenbergM.BeherensF.: Renal pedicle injury in the patient with multiple injures. J. Trauma, 25: 892, 1985.
9.
McAninchJ.W.CarrollP.R.: Renal exploration after trauma: indications and riconstructive techniques. Urol. Clin. North Am., 16: 203–212, 1982.
10.
TurnerW.W.Jr.SnyderW.H.IIIFryW.Y.: Mortality and renal salvage after renovascular trauma: a review of 94 patients treated in 20 year period. Am. J. Surg., 146: 848, 1983.
11.
EasthamJ.A.WilsjonT.G.AbieringT.E.: Radiographic evaluation of adult patients with blunt/renal trauma. J. Urol., 148: 266–267, 1992.
12.
StevensonJ.BattistellaF.D.; The “One-Shot” intravenous pyelogram: is it indicated in unstable trauma patients before celiotomy?J. Trauma, 36: 828–834, 1994.
LeeS.S.ChengC.L.: Vicryl mesh for repair of severely injured kidneys: an experimental study. J. Trauma, 34: 406–410, 1993.
15.
CarrollP.R.McAninchJ.W.: Major bladder trauma: mechanism of injury and unified method of diagnosis and repair. J. Urol., 132: 254–257, 1984.
16.
CassA.S.: The multiple injured patient with bladder trauma. J. Trauma, 24: 731–734, 1984.
17.
CorriereJ.N.Jr.SandlerC.M.: Management of the rupture bladder: seven years with 111 cases. J. Trauma, 26: 830–834, 1986.
18.
WolkD.J.SandlerC.M.CorriereJ.N.Jr.: Extraperitoneal bladder rupture without pelvic fracture. J. Urol., 134: 1199–1203, 1985.
19.
CassA.S.BeherensF.ComfortT.LuxenbergM.: Bladder problems in pelvic injures treated with external fixator and direct urethral drainage. J. Trauma, 23: 50–54, 1983.
20.
CorriereJ.N.Jr.SandlerC.M.: Mechanism of injury, patterns of extravasation and management of extraperitoneal rupture due to blunt trauma. J. Urol., 139: 144–43, 1988.
21.
FollisH.W.McDougalW.S.: Immediate management of prostatomembranous urethral disruptions. J. Urol., 147: 1259–1262, 1992.
22.
Turner-WarwickR.T.: Prevention of complications resulting pelvic fracture urethral injures and from their surgical management. J. Clin. North Am., 16: 335, 1989.
23.
McAninchJ.W.: Traumatic injures to the urethra. J. Trauma, 21: 291–299, 1981.
24.
RosalesA.QueredaC.CampoB.: The employment of the ecografia as first diagnostic approach in the blunt trauma of the kidney. Urol. Int., 48: 134–137, 1992.
25.
HardemanS.HusmannD.A.ChinnH.K.W.PetersP.C.: Blunt urinary tract trauma: identifying those patients who require radiological studies. J. Urol., 138: 99–104, 1987.
26.
HusmannD.A.GillingP.J.MorrisJ.S.: Renal lacerations with a devitalized fragment following blunt abdominal trauma: a comparison between non operative (expectant) versus surgical management. J. Urol., 150: 1774–1777, 1993.
27.
HusmannD.A.MorrisJ.S.: Attempted non-operative management of blunt renal lacerations extending through the medullary junctions: the short-term and long-term sequelae. J. Urol., 143: 682–686, 1990.
