Management and results of treatment of renal injures in children in 1992-2006
Article published in Urologia Polska 2008/61/1.

authors

Wiesław Urbanowicz, Michał Wolnicki, Janusz Sulisławski, Radosław Mycek: Klinika Urologii Collegium Medicum Uniwersytetu Jagiellońskiego

keywords

kidney, injuries, surgery, children

summary

Introduction and the aim of the study. Renal injuries occur in approximately 10% of pediatric patients hospitalized for trauma

and the kidney is one of the most frequently injured visceral organs in pediatric blunt trauma. The aim of this study is to analyze

results of management of children with renal trauma treated in our Department and present treatment modalities according to the

guidelines of AAST and EAU.

Material and method. The study included 187 children who were treated due to kidney trauma. Medical treatment is now less

surgical than before and was performed in 157 children. Nephrectomies were performed in 4 patients.

Conclusions. Management after kidney trauma is more medical than surgical and sufficient in 84% of kidney trauma cases.

Radiological diagnosis especially enhanced CT is the most effective in diagnosis after kidney injuries. AAST renal injury scale is useful

in children.

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correspondence