ReviewNature reviews. Urology2019
Diagnosis and management of urinary extravasation after high-grade renal trauma.
Review in Nature reviews. Urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Overview of pseudo-acute kidney injury.Renal failure · 2026Review
- [Administration of antibiotics in patients with polytrauma-based urogenital injuries-a narrative review].Urologie (Heidelberg, Germany) · 2026Review
- Management of pediatric renal trauma with urinary extravasation: a retrospective study in a single clinical center.Translational pediatrics · 2025Article
- Spontaneous renal subcapsular fluid accumulation with hemorrhage due to ureteral stone: a case report and literature review.Frontiers in surgery · 2025Article
- Does a collecting system injury with grade iv renal blunt trauma always need urinary intervention?World journal of urology · 2024Article
- Right-Sided Urinary Extravasation Caused by a Ureteral Stone and Associated With Peritonitis in an Older Woman.Cureus · 2023Article
- Urinoma following blunt renal trauma in a patient with anomalous solitary kidney: A case report.International journal of surgery case reports · 2021Article
- Observation vs. early drainage for grade IV blunt renal trauma: a multicenter study.World journal of urology · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Renal trauma research has historically focused on parenchymal injuries and the risk of bleeding. However, much less is known about the diagnosis and optimal management of urinary extravasation, which complicates ~30% of high-grade renal injuries. Immediate or delayed ureteral stenting is the most common procedure used to treat collecting system injuries when intervention is needed. However, the lack of evidence-based guidelines leaves the diagnosis and management of urinary extravasation largely dependent upon physicians' experience, initial and follow-up imaging protocols, and the definitions used for grading the injuries. The knowledge gaps in the management of urinary extravasation that need to be addressed include the timing of excretory-phase CT imaging, patterns of clinically significant urinary extravasation, predictors of complications when urinary extravasation occurs, protocols for obtaining and interpreting follow-up imaging, and the role of ureteral stenting and other interventions in management. To improve the management of urinary extravasation after high-grade renal trauma, large, multi-institutional prospective trails assessing different diagnostic and therapeutic protocols are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.