INJURIES IN THE
GENITOURINARY
TRACT
Dr H R Danarto.SpB,SpU.
S
SYMPTOMS AND SIGNS
S HEMATURIA
S BACKPAIN
S MEATAL BLEEDING
S PERINEAL PAIN
S SUPRAPUBIC PAIN
S PERITONITIS
HEMATURIA
S KIDNEY
S URETER
S BLADDER
TRAUMA GIJAL
PENYEBAB TRAUMA GINJAL
ANATOMI
HEMATURIA
S INJURIES KIDNEY
S MINOR ( 65 % )
S MAYOR
TRAUMA GINJAL
Diagnosis
S History presence hematuria
S Physical examination
S Excoriation / hematoma flank
S Bulging flank
S Flank pain
S Radilogic examination
S Intravenous pyelography
S Ct scan
S Arteriography
MEATAL BLEEDING
S URETHRA
S ANTERIOR
S GLANULARIS
S PENDULANS
S BULBOSA
S POSTERIOR
S MEMBRANACEA
URETHRAL INJURIES
S CAUSA :
STRADDLE PERINEAL INJURIES
METAL CATETER
FRACTURE PUBIS
Diagnosis
S Physical exam
S Meatal bleeding
S Hematoma / excoriation perineal
S Hematoma scrotal
S Imaging
S Urethrography retrograde extravasasion contrast
Treatment
S Konservative treatment
S Sistostomy
S Early repair urethra
Diagnosis
S History injury and meatal bleeding
S Physical exam
S Hematoma / oedema suprapubic
S Suspected fract pubic
S Imaging
S Urethrography
Treatment
S Sistostomy
S Realigment
Bladder rupture
S Intra peritoneal
Symptome peritonities
S Extra peritoneal
Symptome retropubic pain
Diagnosis
S History injury and hematuria
S Physical exam
S Peritonities
S Oedema / hematoma suprapubic
S Pain suprapubic
S Imaging
S urethrocystography
Treatment
S Konservative
S Inserting cateter
S Repair bladder
THANK’S
SEE YOU IN CLINICAL DEPT