Conservative management of renal trauma renal trauma, a literature review and practical clinical guideline

A literature search was conducted utilizing Medline, and; articles published between 2000 and 2016 were included.
About 10% of all injuries seen in the emergency room involve the genitourinary system to some extent. Many of the injuries are subtle and difficult to define and require great diagnostic expertise. Renal injuries accounted for 51% of cases, while the remaining injuries were evenly divided between the bladder, urethra, penis, and scrotum and its contents. Half of these patients had associated intra-abdominal or pelvic injuries. Overall, approximately 40% of these injuries were deemed to be severe.2
Renal trauma is increasingly being managed conservatively with an expanding role for interventional radiology techniques. Accurate assessment and resuscitation are vital in the initial management