ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2021
Management of high-grade renal traumas with collecting system injuries.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Renal trauma: an overview of current management.Urologie (Heidelberg, Germany) · 2026Review
- Successful Closure of Persistent Urinary Fistula After High-Grade Renal Trauma Using N-Butyl-2-Cyanoacrylate: A Case Report.IJU case reports · 2026Article
- Management of high-grade kidney trauma on bilateral polycystic kidney disease: A case report.International journal of surgery case reports · 2024Article
- Does a collecting system injury with grade iv renal blunt trauma always need urinary intervention?World journal of urology · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionApproximately 50% of all high-grade renal traumas (HGRT, American Association for the Surgery of Trauma [AAST] grade 4/5) have associated collecting system injuries. Although most of these collecting system injuries will heal spontaneously, approximately 20-30% of these injuries are managed with ureteric stents. The objective of the study was to review the management of HGRT with collecting system injuries in a level 1 trauma center.
methodsThis was a single-center, retrospective cohort study of trauma patients with HGRT and collecting system injuries from 1998-2019.
resultsWe identified 147 patients with HGRT. Of the 105 patients who had trauma computed tomography (CT) imaging within 24 hours, 46 were found to have collecting system injuries. Seven of these patients underwent intervention based on initial CT findings; the remaining 39 patients with urinary extravasation were conservatively managed. Of the 37 patients who underwent reimaging, 22 (59%) demonstrated a stable or resolving collection and 15 (41%) demonstrated continued urinary extravasation. Resolution of extravasation on subsequent imaging was observed in 10 of those patients, while five patients (14%) required intervention (four stents, one percutaneous drain) for symptoms/signs of urinary extravasation.
conclusionsIn this study, most patients with HGRT and collecting system injuries did not require intervention unless the patient became symptomatic. The majority of collecting system injuries resolved with no intervention. This study underscores the need for future prospective trials to investigate the necessity of intervening in HGRT collecting system injuries and, secondarily, the need for routine re-imaging in these asymptomatic patients.
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