<< Ballistic Injuries In The Emergency Department (Trauma CME)

Management Of Genitourinary Gunshot Wounds

Only 10% of trauma patients have a GU injury, and only 15% of this subset is from penetrating trauma.102 Fortunately, there are few life-threatening GU surgical emergencies other than a shattered kidney or major lacerations of the renal vasculature. The majority (up to two-thirds) of GU injuries are to the external genitalia, and most patients have other, more urgent, nongenitourinary injuries.103 In up to 45% of trauma cases, bladder injuries are due to gunshot wounds, but 90% of traumatic ureteral injuries are due to penetrating trauma.104-106 Only a small percentage (5%-10%) of direct kidney injuries are from penetrating trauma, but many of these injuries require complete nephrectomy.107

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