[Kidney and bladder injuries: diagnosis and therapy].

Abstract

Classification of renal trauma is given. Perforated trauma requires operation, blund trauma is treated conservatively, at least in stage I and II. Severe hemorrhage is reason for surgical exploration and nephrectomy in stage III and IV renal trauma. Renal trauma is best diagnosed by sonography and CT-scan. Bladder trauma is best diagnosed by cystogram and classified to intraperitoneal leasons which require immediate operation and to extraperitoneal leasons which are treated conservatively.