Urogenital system trauma in children and adolescents
Authors:
Olga Dolejšová 1; Barbora Bendová 1; Jiří Kouba 1; Filip Heindereich 2; Milan Hora 1
Authors‘ workplace:
Urologická klinika LF UK a FN Plzeň
1; Klinika zobrazovacích metod LF UK a FN Plzeň
2
Published in:
Ces Urol 2021; 25(4): 244-253
Category:
Original Articles
Overview
Material and method: In the period from December 2012 to May 2021, a total of 72 children aged 0-19 were treated in our hospital. We retrospectively evaluated the cause of the injury, the extent of the trauma, the need for hospitalization and the method of treatment. In renal trauma, the severity of the injury was assessed according to the AAST classification (American Association for the Surgery of Trauma) and the presence of hematuria. Iatrogenic injuries were not part of our cohort.
Results: 62 boys and 10 girls were injured. Injuries of external genitalia occurred the most frequently in our group – 44 cases (61 %). The whole group was treated conservatively in 41 (57 %) children. Kidney injury was reported in 24 cases (33 %). According to gender, 15 boys and 9 girls were treated with kidney injuries. Hematuria was reported in 18 children (75 %). For renal injuries, a conservative approach was chosen in 18 cases (75 %). Nephrectomy was performed four times. A total of 40 (56 %) children were hospitalized. Injuries were most often caused by sports and leisure activities and traffic accidents.
Conclusion: In our group, the injuries of external genitalia occurred most often, which in most cases could be solved without the need for hospitalization. In contrast, almost all children with kidney injuries were hospitalized. In accordance with European recommendations, a conservative approach was chosen for renal injury in order to maximize the preservation of the functional renal parenchyma. According to the literature, the presence of hematuria and its severity did not correlate with the degree of renal injury. Children were most often injured in sports, leisure activities and traffic accidents.
Keywords:
hematuria – kidney injury – external genital injury
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Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2021 Issue 4
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