TRAUMA

INJURIES IN THE GENITOURINARY TRACT Dr H R Danarto.SpB,SpU.

SYMPTOMS AND SIGNS      

HEMATURIA BACKPAIN MEATAL BLEEDING PERINEAL PAIN SUPRAPUBIC PAIN PERITONITIS

HEMATURIA   

KIDNEY URETER BLADDER

KIDNEY INJURIES

CAUSE OF INJURIES

ANATOMY

HEMATURIA 

INJURIES KIDNEY 

MINOR ( 65 % )



MAYOR

TRAUMA GINJAL

Diagnose  

History presence hematuria Physical examination   



Excoriation / hematoma flank Bulging flank Flank pain

Radilogic examination   

Intravenous pyelography Ct scan Arteriography

MEATAL BLEEDING 

URETHRA 

ANTERIOR   



GLANULARIS PENDULANS BULBOSA

POSTERIOR 

MEMBRANACEA

URETHRAL INJURIES 

CAUSA : STRADDLE PERINEAL INJURIES METAL CATETER FRACTURE PUBIS

Diagnose 

Physical exam   

 

Meatal bleeding Hematoma / excoriation perineal Hematoma scrotal

Imaging Urethrography retrograde extravasasion contrast

Treatment   

Konservative treatment Sistostomy Early repair urethra

Diagnose  

History injury and meatal bleeding Physical exam  



Hematoma / oedema suprapubic Suspected fract pubic

Imaging 

Urethrography

Treatment  

Sistostomy Realigment

Bladder rupture 

Intra peritoneal Symptome peritonities



Extra peritoneal Symptome retropubic pain

Diagnose  

History injury and hematuria Physical exam   



Peritonities Oedema / hematoma suprapubic Pain suprapubic

Imaging 

urethrocystography

Treatment 

Konservative 



Inserting cateter

Repair bladder

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