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

THANKS
SEE YOU ON CLINICAL DEPT