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Ureteral, Bladder, and Urethral Trauma, Sports Medicine

Robert J. Baker, MD, PhD, FAAFP, FACSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Sports-related trauma to the trunk and/or perineum can result in contusion, laceration, or complete transection of the ureter, bladder, or urethra.

  • Injury to the genitourinary (GU) tr...

DIAGNOSIS

HISTORY

  • Ureter: trauma to the back or flank, hematuria, expanding flank mass 2[C]:

    • Suspect traumatic ureteral injury if: (i) an appropriate mechanism of injury; (ii) new symptoms of fever, fla...

TREATMENT

GENERAL MEASURES

ALERT

Because these injuries are often associated with trauma and multiple injuries, stabilization of the patient is the most important 2[C].

 
  • Signs of shock may be present and...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Delayed diagnosis of ureteral injury can result in nephrectomy 6[C].

  • Small, uncomplicated extraperitoneal rupture of the bladder may be managed nonoperatively with...

REFERENCES

1
McGeady JB, Breyer BN. Current epidemiology of genitourinary trauma. Urol Clin North Am.  2013;40(3):323–334.
2
Phillips B, Holzmer S, Turco L, et al. Trauma to the bladder and ureter: ...

ADDITIONAL READING

  • Asplund C, Barkdull T, Weiss BD. Genitourinary problems in bicyclists. Curr Sports Med Rep.  2007;6(5):333–339.

  • Bryan ST, Coleman NJ, Blueitt D, et al. Bladder problems in athle...

CLINICAL PEARLS

  • Suspect traumatic ureteral injury if (i) an appropriate mechanism of injury; (ii) new symptoms of fever, flank pain, sepsis, and/or ileus occur following initial trauma stabilization; ...

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