Publication: Imaging spectrum of traumatic urinary bladder and urethral injuries
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Issued Date
2020-01-01
Resource Type
ISSN
23660058
2366004X
2366004X
Other identifier(s)
2-s2.0-85088704315
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Mahidol University
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SCOPUS
Bibliographic Citation
Abdominal Radiology. (2020)
Suggested Citation
Sirote Wongwaisayawan, Satheesh Krishna, Adnan Sheikh, Rathachai Kaewlai, Nicola Schieda Imaging spectrum of traumatic urinary bladder and urethral injuries. Abdominal Radiology. (2020). doi:10.1007/s00261-020-02679-0 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/57934
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Title
Imaging spectrum of traumatic urinary bladder and urethral injuries
Abstract
© 2020, Springer Science+Business Media, LLC, part of Springer Nature. Urinary bladder and urethral injuries usually occur as part of multiple injuries in polytrauma patients. These injuries are easily overlooked because the initial evaluation is focused on other life-threatening injuries such as traumatic brain injury, hemopneumothorax or hemoperitoneum. Although the urinary bladder and urethral injuries are not life-threatening, they pose the risk of long-term morbidity which can be burdensome. These complications include urinary incontinence, voiding dysfunction, urethrocutaneous fistula, urethral stricture and erectile dysfunction. Computed tomography (CT) findings of urinary bladder and urethral injuries are usually subtle. Retrograde fluoroscopic/CT cystography and urethrography remain the mainstay imaging techniques for complete evaluation, diagnosis, staging, and follow-up of these traumatic injuries. In this review, we discuss the pathophysiology and imaging spectrum of urinary bladder and urethral injuries with an emphasis on the classification schemes. Familiarity with the pelvic anatomy and the injury pattern leads to the prompt diagnosis, accurate classification and appropriate management, which have been associated with better prognosis.