Dr. Benjamin Breyer Urology
San Francisco, CA 94143
Phone: (415) 353-2200
 
     

Benjamin Breyer

Clinics

Urology Practice

400 Parnassus Ave.,
Sixth Floor, Suite A610
San Francisco, CA 94143
Phone: (415) 353-2200
Fax: (415) 353-2641

Hours: Monday to Friday
8 a.m. – 5 p.m.

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Genitourinary tract injuries

Genitourinary tract injuries may pose a serious threat to human life. However, usually injured urologic organs are successfully treated by surgical and non-surgical therapy.

Reasons for genitourinary tract injuries are diverse, but the main causes of penetrating or blunt trauma of genitourinary tract are car crashes and falls from height.

When occurring signs of genitourinary tract injuries, diagnostics should be conducted and the optimal method of treatment should be chosen. The choice of the first-line therapy should be based on the results of diagnostic tests.

Patients with the symptoms of genitourinary tract injuries can be diagnosed with injury of renal, kidney, urethra, ureter, and (or) bladder.

  • The main symptoms of kidney injury include pain in the side, abdominal discomfort or pain, hematomas on the skin, blood in the urine.

The consequences of blunt renal trauma may include damage of the renal vessels and arteries, kidney displacement, stretching and thrombosis of the renal artery.

Often, kidney injuries are associated with other genitourinary tract injuries. Therefore, before starting the treatment, all organs of the urogenital tract that could be damaged because of injury should be examined.

It should be noted that not all types of urologic organs injuries occur due to blunt or penetrating injuries during an accident. For example, most cases of ureteral injury occurs during gynecologic, urologic or general surgery.

  • The danger of ureteral injury is that such injury does not have symptoms and it can cause serious kidney dysfunction.

For the diagnosis of ureteral injury, X-ray examination, which will help to diagnose all the possible consequences of genitourinary tract injuries, should be conducted.

In addition to physical examination and radiography, to identify injuries of urologic organs, the following diagnostics should be conducted: complete blood count, general urine examination, ultrasonography, urography, computed tomography, magnetic resonance imaging, angiography, cystography, and other types of laboratory and diagnostic tests.

  • A special attention should be paid to the injuries of bladder and urethra.

The peculiarity of these genitourinary tract injuries is that they usually occur because of pelvis fractures. Therefore, most patients with the injury of urethra or bladder carry out the treatment of injured urologic organs together with the treatment of pelvic fracture.

In uncomplicated genitourinary tract injuries, treatment is not required, as a rule. In severe trauma of genitourinary system, surgical procedures in combination with a prophylactic antibiotic therapy can be required.

  • Antibiotics should be taken even in the cases if symptoms of a bacterial infection are not observed after genitourinary tract injuries.

The need for the use of antibiotics is caused by the fact that because of genitourinary tract injuries, bacterial infections and abscesses (such as, cystitis, pyelonephritis, urethritis, UTI) may develop.

One of the most effective and safe antibiotics to prevent infectious and inflammatory diseases of the urinary system organs is Amoxicillin (penicillin group).

This antibiotic can be used for the treatment of mild, moderate, and severe infections in patients from three months of age and older. Therefore, it can be prescribed to prevent infections in genitourinary tract injuries at almost any age.

If a patient has a resistance to penicillin antibiotics, cephalosporin antibiotic – Ciprofloxacin can be prescribed instead of Amoxicillin. This antibiotic is as effective as Amoxicillin, but it cannot be prescribed for the treatment of uncomplicated, moderate, complicated infections in patients younger than 1 year.

Choice of the optimal treatment scheme of genitourinary tract injuries will help quickly arrest the inflammatory and infectious processes and significantly reduce the risk of severe infectious and noninfectious complications.

 
     
 
 
© Dr. Benjamin Breyer