Chennai Stone Clinic
UROLOGY TREATMENT

Renal Trauma

The treatment of patients with renal injuries will depend on the extent of the injury.

The patients with minor injuries, that only present microscopic haematuria, need only observation for 48 to 72 hours and an urologic follow-up care.

In the cases of parenchymal lacerations, that are restrict to the cortex, the patient should be hospitalized, at bed rest and with broad-spectrum antibiotics.

When there is deep parenchymal laceration, the patient should be treated conservatively and the physician should attempt for the posterior presence of abscess, infection, hypertension, renal atrophy and secondary hemorrhage.

Patients with the more significant parenchymal lacerations (major injuries), extensive extravasation, vascular injuries or pulsatile hematoma, should undergo surgery exploration. The surgery exploration is best done through a trans abdominal transperitoneal approach, trying to make the best wide exposure and an early vascular control at the first moment.

Penetrating injuries from gunshot or stab wounds require surgical exploration, but it is not necessary if the CT scan or arteriography show a minor injury, without extravasation of contrast medium, what confirms preservation of vascularities.