TRAUMA

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

TRAUMA GIJAL

PENYEBAB TRAUMA GINJAL

ANATOMI

HEMATURIA


INJURIES KIDNEY


MINOR ( 65 % )



MAYOR

TRAUMA GINJAL

Diagnosis



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

Diagnosis


Physical exam




Meatal bleeding
Hematoma / excoriation perineal
Hematoma scrotal

Imaging
 Urethrography retrograde extravasasion
contrast


Treatment




Konservative treatment
Sistostomy
Early repair urethra

Diagnosis



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

Diagnosis



History injury and hematuria
Physical exam






Peritonities
Oedema / hematoma suprapubic
Pain suprapubic

Imaging


urethrocystography

Treatment


Konservative




Inserting cateter

Repair bladder

THANK’S
SEE YOU IN CLINICAL DEPT