COMPLICATED INJURIES OF THE URINARY TRACT *

Summary (1) The surgical treatment of gunshot wounds of the urinary tract complicated by concomitant injuries often repays the surgeon for his enterprise and saves the life of the patient. (2) In cases of pluri‐visceral wounding the prognosis is almost invariably determined by associated damage to the gastro‐intestinal tract or to anatomical areas outside the urinary system. (3) Concomitant injury to neighbouring bone augments the gravity of the immediate prognosis, and in cases of damage produced by the missile of an adversary consequent sepsis retards convalescence and renders final cure less certain. (4) The involvement of the thorax and abdomen in gunshot wounds became less and less feared in the War of 1914–1918, and the prognosis in abdomino‐thoracic wounds, where the solid abdominal organs such as the kidney were implicated, was on the whole good.