Open AccessMultiple Injuries to the Lower Urinary Tract: Two Cases and Comparison with the EAU Guidelines
Author(s) -
Nicolaas Lumen,
Divya Sharma,
Yasim Abu-Ghanem,
N. Djakovic,
Franklin E. Kuehhas,
Efraim Serafetinidis,
Arunan Sujenthiran,
Marjan Waterloos,
Peter Hallscheidt,
Noam D. Kitrey
Publication year - 2018
Publication title -
case reports in urology
Language(s) - English
Resource type - Journals
eISSN - 2090-696X
pISSN - 2090-6978
DOI - 10.1155/2018/3216527
Subject(s) - medicine , concomitant , urinary system , blunt , lower urinary tract symptoms , blunt trauma , surgery , urology , prostate , cancer
Blunt trauma to the lower urinary tract is usually associated with pelvic fractures. The European Association of Urology (EAU) provides guidelines to diagnose and treat these injuries. The guidelines summarise the available evidence and provide recommendations on diagnosis and treatment of these patients. Therefore, these guidelines are important adjuncts to the urologist and emergency physician in the clinical decision-making. However, strict adherence to the guidelines is not always easy or possible because of concomitant injuries obscuring the clinical picture. This is illustrated by two case reports of concomitant injuries of the lower urinary tract (bladder with urethral injury). The clinical decisions will be discussed point by point and should serve as a practical teaching moment for the reader.