<< Emergency Management of Renal and Genitourinary Trauma: Best Practices Update (Trauma CME)

Etiology and Pathophysiology

For a summary of the types of injuries GU organs may sustain, see Table 3.

Table 3. Renal and Genitourinary Organ Injuries

Kidney and Ureter

The kidneys and ureter are protected by adjacent anatomic structures, but they are suspended from the renal pedicle, without other firm attachments. As a result, blunt trauma to these organs is usually secondary to a rapid deceleration injury as opposed to being from direct trauma. The forces of deceleration can cause a spectrum of injuries to the parenchyma, from contusions to a shattering of the kidney. Additionally, the vascular supply to and from the kidney can be injured, which can lead to necrosis if left untreated.38

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