ReviewTherapeutic advances in urology2018
Renal trauma: the current best practice.
Review in Therapeutic advances in urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.
- The American Association for the Surgery of Trauma Organ Injury Scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist.Emergency radiology · 2020Guideline
- Comparison between operative management versus non-operative management in patients with solid organ blunt abdominal injury in the National Trauma Registry of Iran.Annals of medicine and surgery (2012) · 2026Article
- A case of complete renal pedicle avulsion with deceptively stable hemodynamics: Critical diagnostic pitfall of misdiagnosis as ectopic kidney.Urology case reports · 2026Article
- Contemporary management and outcomes of penetrating traumatic AAST-OIS grade III and IV kidney injuries undergoing laparotomy: a Trauma Quality Improvement Program analysis.Scientific reports · 2026Article
- Long-term renal function after high-grade renal trauma: a nuclear imaging based cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Right kidney contusion following endoscopic mucosal resection of hepatic flexure lymphangioma: a rare case report.Frontiers in surgery · 2026Article
- Imaging findings of high-grade penetrating renal trauma in a pediatric patient.Radiology case reports · 2025Article
- Conservatively Managed Grade V Blunt Renal Injury.Cureus · 2025Article
- Article
- Ureteral contrast findings as a potential predictor for invasive intervention in high-grade pediatric renal trauma: A retrospective analysis.International journal of urology : official journal of the Japanese Urological Association · 2025Article
- Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution.Medicina (Kaunas, Lithuania) · 2025Article
- Analysis and approach to renal trauma: A five-year experience at a level I trauma centre in north India.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Conservative management of grade 5 renal injury: Case report.Urology case reports · 2025Article
- Renal embolization for trauma: a narrative review.Journal of trauma and injury · 2024Article
- Minimal invasive management for untreated high-grade renal trauma and its complication: A case report.International journal of surgery case reports · 2024Article
- Traumatic rupture of congenital pelviureteric junction obstruction.Urology case reports · 2024Article
- Trauma resulting in rare avulsion-type renal injury and lobe migration: An uncommon case report.Trauma case reports · 2024Article
- Management of blunt abdominal trauma.The British journal of surgery · 2024Article
- Management of Pediatric Solid Organ Injuries.Children (Basel, Switzerland) · 2024Review
- Renal injuries in conflict zones: a 6-year study of traumatic cases in Afghanistan.Conflict and health · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The kidneys are the most vulnerable genitourinary organ in trauma, as they are involved in up to 3.25% of trauma patients. The most common mechanism for renal injury is blunt trauma (predominantly by motor vehicle accidents and falls), while penetrating trauma (mainly caused by firearms and stab wound) comprise the rest. High-velocity weapons impose specifically problematic damage because of the high energy and collateral effect. The mainstay of renal trauma diagnosis is based on contrast-enhanced computed tomography (CT), which is indicated in all stable patients with gross hematuria and in patients presenting with microscopic hematuria and hypotension. Additionally, CT should be performed when the mechanism of injury or physical examination findings are suggestive of renal injury (e.g. rapid deceleration, rib fractures, flank ecchymosis, and every penetrating injury of the abdomen, flank or lower chest). Renal trauma management has evolved during the last decades, with a distinct evolution toward a nonoperative approach. The lion's share of renal trauma patients are managed nonoperatively with careful monitoring, reimaging when there is any deterioration, and the use of minimally invasive procedures. These procedures include angioembolization in cases of active bleeding and endourological stenting in cases of urine extravasation.
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