1. Genito Urinary Tract Trauma
DR. ASHFAQ AHMAD
UROLOGIST

2. Different Mechanism of Trauma
Penetrating Injuries
Non Penetrating/ Blunt Trauma


Accelerating / Decelerating
Rotational / Stretch Mechanism
Blast Injuries
Chemical Injuries
Thermal Injuries

3. Renal Trauma
Types of Trauma


Penetrating
Blunt
Grades of Renal Trauma
1:2:3
4: 5
Minor Injuries
Major Injuries

4. Clinical Presentation
Flank Pain (Vomiting)
2. Generalized pain Abdomen
3. Haematuria
4. Abdominal Distention secondary to illus
1.

5. Inspection
Flank


Bruising
Echymosis
On Palpation


Tenderness
Flank Mass
On Auscultation absent bowel sounds
DPL

6. Investigations
Blood CP
Urine R/E
Serum Creatinine
X-Ray
 Chest
 Abdomen
 Pelvis
USG
IVU (Intravenous Urography )
Abdominal CT-Scan
Arteriography

7. Complications of Renal Trauma
Urinoma
Hematoma
Peri-Nephric Abscess.
Hydronephrosis
Arterio-Venous Fistula
Renal Stones

8. Treatment
Emergency Measures
1.





Blunt Injuries
1.



1.
Airway
Breathing
Circulation
Deformity
Environment
Minor renal Injuries
General, Critical care charting
Major Renal Injuries
Penetrating Injuries

9. 4. Treatment of Complications
Urinoma
Hematoma
Perinephric Abscess
Renal Hypertention
A.V Fistula
Renal Stones

10. 4. Treatment of Complications
Urinoma
Hematoma
Perinephric Abscess
Renal Hypertention
A.V Fistula
Renal Stones