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Genitourinary Emergencies

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Acute Care Surgery Handbook

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Abstract

Trauma is the leading cause of death worldwide between the ages 1 and 44 years old. Stabilization of life-threatening injuries is the primary goal in the evaluation of all trauma patients, but subsequent diagnosis and treatment of secondary injuries are required for good trauma care. Genitourinary injuries occur in 2–5 % of all trauma patients and in at least 10 % of patients with abdominal trauma, emphasizing the need for a close collaboration between general and urologic trauma surgeons. Accordingly, general physicians involved in the initial evaluation and management of trauma patients should be aware of the diagnosis and treatment of the most common injuries that can occur in the genitourinary system. Here, we review selected topics on genitourinary emergencies and discuss innovative recommendations in order to provide a summary for those involved in the evaluation and management of patients and their associated genitourinary injuries. Indwelling urethral catheters are often used for bladder drainage in the hospital setting but it requires adequate training in order to avoid major acute and chronic complications. Difficult urethral catheterization is not uncommon, and may be handled by the general surgical team without the need of a specialist. In this chapter, a practical approach to urethral catheterization is described in order to provide surgeons with the necessary information to manage it safely.

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Authors and Affiliations

  1. Denver Health Hospital and Authority, Denver, CO, USA

    Rodrigo Donalisio da Silva, Rodrigo Pessoa, Nicholas Westfall & Fernando J. Kim

Authors
  1. Rodrigo Donalisio da Silva
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  2. Rodrigo Pessoa
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  3. Nicholas Westfall
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  4. Fernando J. Kim
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Corresponding author

Correspondence to Fernando J. Kim .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery Service, C.A. Pizzardi Maggiore Hospital AUSL Bologna, Bologna, Italy

    Salomone Di Saverio

  2. Emergency and Trauma Surgery, Maggiore Hospital of Parma, Parma, Italy

    Fausto Catena

  3. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Federico Coccolini

  5. Trauma, Emergency Medicine Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    George Velmahos

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da Silva, R.D., Pessoa, R., Westfall, N., Kim, F.J. (2017). Genitourinary Emergencies. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15341-4_14

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  • DOI: https://doi.org/10.1007/978-3-319-15341-4_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15340-7

  • Online ISBN: 978-3-319-15341-4

  • eBook Packages: MedicineMedicine (R0)

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