Abstract:
OBJECTIVES:To define and discuss the characteristics of all-terrain vehicle (ATV)-related pediatric (<16 years) genitourinary (GU) trauma. ATV collisions represent a significant and growing portion of trauma cases in rural America. ATV-related renal injuries have been reported in adults but a comprehensive review of ATV-related pediatric GU trauma cases is needed. METHODS:A retrospective analysis of admissions to 2 trauma centers in Kentucky between 1997 and 2007 was performed, identifying youth who presented with ATV-related GU injuries. Demographics, injury data, and treatment records for children with GU trauma in this study population were recorded and analyzed. RESULTS:A total of 429 youth were admitted after ATV injuries during the study period. Of these, 13 (7 boys, 6 girls) had GU injuries (3%) and the average age was 10.7 years. Of 13 patients, 12 (92%) were unhelmeted and the mean injury severity score was 10.3. Twelve of 13 (92%) suffered renal injuries (7 contusions, 5 lacerations) and 1 (8%) had an extraperitoneal bladder rupture. Renal lacerations were grade I-V. Hematuria was very common (10/12, 83%) and intensive care unit care was required in 5 of 12 (42%) patients. Mean length of stay was 5 days and 12 of 13 (92%) were discharged home. The most common associated injury was splenic laceration (4/13, 31%). CONCLUSIONS:GU trauma in ATV-injured youth is uncommon but when it occurs, renal injuries predominate. Most present with hematuria. Prevalence of renal trauma among GU injuries in children suggests a unique injury mechanism (crush during ATV roll or strike of the handlebars) and more study of injury mechanics is warranted. A high index of suspicion is warranted in evaluating these children.
journal_name
Urologyjournal_title
Urologyauthors
Kluemper C,Rogers A,Fallat M,Bernard ACdoi
10.1016/j.urology.2009.08.068subject
Has Abstractpub_date
2010-05-01 00:00:00pages
1162-4issue
5eissn
0090-4295issn
1527-9995pii
S0090-4295(09)02519-9journal_volume
75pub_type
杂志文章相关文献
UROLOGY文献大全abstract::Circumcision is generally undertaken for 3 reasons; first, as an item of religious practice, typically neonatally, although occasionally transpubertally, as a rite of passage; second, as a prophylactic measure against future ailments (for the reduction in the risk of penile cancer, urinary tract infection, and sexuall...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.10.005
更新日期:2010-07-01 00:00:00
abstract::A probability sample of noninstitutionalized elderly people in Washtenaw County, Michigan, was interviewed to determine the relationship between urinary incontinence and various health conditions. The results show that between both male and female respondents physical mobility problems, specific neurologic symptoms, l...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80211-5
更新日期:1990-08-01 00:00:00
abstract::Priapism was associated with multiple myeloma and hyperviscosity in a sixty-year-old black male. Plasmapheresis treatment of the hyperviscosity corrected his priapism, and chemotherapy for the underlying multiple myeloma prevented the recurrence of priapism after a chronic intermittent history of seventeen years. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90334-5
更新日期:1978-08-01 00:00:00
abstract::A seven-year-old body with diurnal and nocturnal incontinence was found to have a dysplastic left kidney and an associated ectopic ureter in a single, system which opened beside the verumontanum. An intravesical bulge was identified which resembled a ureterocele but was, in fact, a dilated ectatic lower ureter proxima...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90014-5
更新日期:1981-01-01 00:00:00
abstract::A group of 41 young patients (age less than or equal to 40 years; mean, 35.7 years) and a group of 34 old patients (age greater than or equal to 80 years; mean, 82.4 years) who underwent operation for renal cell carcinoma between 1970 and 1986 were compared. Sex, grade, and DNA ploidy pattern distributions were simila...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80002-o
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:This analysis was performed to define the level of serum prostate-specific antigen (PSA) measured with the Abbott IMx assay that indicates residual or progressive prostate cancer after radical retropubic prostatectomy (RRP). METHODS:Since March 1992, we have used the Abbott IMx assay to determine PSA levels...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(96)00050-7
更新日期:1996-06-01 00:00:00
abstract::A total of 152 patients had cytology and cystoscopy performed for either initial or recurrent bladder tumors and postoperative control examinations. Positive cytology was found in 97 per cent of patients with pathologically proved bladder tumors. However, 23 per cent of the patients with negative cytology had positive...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90024-4
更新日期:1979-01-01 00:00:00
abstract::Internal ureteral stents have become an integral part of urologic practice to relieve intrinsic as well as extrinsic upper urinary tract obstruction. Missed internal ureteral stents is a serious potential complication that is associated with increased patient morbidity and is especially a problem in developing countri...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.04.048
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:Preoperative prostate-specific antigen (PSA) velocity (PSAV), the rate of PSA rise preceding diagnosis, predicts for relapse and cancer death after prostatectomy or radiotherapy. We studied the timing, cutoff levels, and method of calculation to better define its usefulness. METHODS:The rates of biochemical...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.01.019
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVES:To investigate the effect of a bacteriostatic urethral lubricant on the clinical efficacy of intravesical bacillus Calmette-Guérin (BCG) therapy. METHODS:Between July 1987 and August 1999, 389 patients with superficial urothelial carcinoma of the bladder (pTa [multilocular, size greater than 2 cm, recurrent...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)00903-7
更新日期:2001-05-01 00:00:00
abstract::In a seventy-five-year-old white man gross total painless hematuria developed one year after right radical nephrectomy for renal cell carcinoma. Results of physical examination, laboratory studies, intravenous pyelography, and cystoscopy were normal at that time. One year later, the patient had another episode of gros...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90156-7
更新日期:1987-02-01 00:00:00
abstract:OBJECTIVES:To examine the prevalence, characteristics, and impact of sexual dysfunction in our primary care referral population. METHODS:Participants seeking treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) were recruited from general urology clinics. The subjects completed the National Institu...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.08.043
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To introduce a grading system (kidney, ureter, and bladder [KUB]) to identify encrusted stents that may require multiple surgeries, multimodal surgery, and operative time > 180 minutes for successful removal. METHODS:One hundred ten retained encrusted ureteral stents were retrospectively scored using the KUB...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.06.050
更新日期:2016-11-01 00:00:00
abstract::Forty-three patients with benign prostatic hypertrophy with marked urinary distress, which I believed warranted surgical treatment, were selected from private practice. These patients were treated with long-term conservative therapy to determine the efficacy of candicidin for this condition. Patients receiving candici...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/0090-4295(74)90113-7
更新日期:1974-07-01 00:00:00
abstract::A 36-year-old Caucasian British woman presented with a classic case of right renal colic. Initial plain abdominal radiography and intravenous urography identified an 8 x 5 mm calculus apparently lying within a right lower pole calyx. Following failed extracorporeal lithotripsy and flexible ureterorenoscopy, cross-sect...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.09.044
更新日期:2010-08-01 00:00:00
abstract::Closed suprapubic cystostomy is an expeditious procedure for a variety of clinical conditions requiring urinary drainage. Its benignity is reflected by a low complication rate of 1.6 per cent and no deaths in this series of 244 consecutive patients. Nevertheless, major complications can occur if proper technique is no...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90197-8
更新日期:1978-01-01 00:00:00
abstract::A perinephric abscess in an adolescent, initially mistaken for a renal tumor, was managed conservatively with antibiotic therapy alone. Computed tomography revealed that resolution was complete, eliminating the need for surgical drainage. The case suggests the wisdom of altering traditional diagnostic and therapeutic ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90189-4
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVES:To investigate the antimuscarinic effect of oxybutynin in the rat detrusor muscle after estrogen pretreatment because, to our knowledge, no study has been done on the interaction of estrogen with antimuscarinic drugs. Estrogen has been shown to affect muscarinic receptors in the detrusor muscle of animals. I...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.10.069
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVES:To estimate the disease-specific survival of patients with complete removal of the seminal vesicles (SVs) at radical prostatectomy and to develop a nomogram for the prediction of SV invasion (SVI). METHODS:An analysis of 6740 patients from three institutions was performed. The primary outcome was biochemica...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2006.12.013
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:To assess the feasibility of telerobotic assisted surgery. METHODS:In a laboratory model, a cholecystectomy, splenectomy, and nephrectomy were performed by an inexperienced surgeon who was being mentored by an experienced surgeon stationed at a remote site. The remote surgeon controlled the laparoscopic cam...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80003-0
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To analyze differences in length of stay, opioid use, and other perioperative outcomes in patients undergoing radical cystectomy with urinary diversion who received either liposomal bupivacaine (LB) or epidural analgesia. METHODS:This was a single center, retrospective cohort study of patients undergoing ope...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.036
更新日期:2020-12-03 00:00:00
abstract:OBJECTIVES:To compare, in a multicenter, randomized clinical trial, collagen injections versus surgery with regard to efficacy, quality of life, satisfaction, and complications. METHODS:Of 133 women with stress urinary incontinence, 66 were randomized to collagen injection and 67 to surgery (6 needle bladder neck susp...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.urology.2004.11.054
更新日期:2005-05-01 00:00:00
abstract::Recurrent transitional cell carcinoma of the bladder is often a locally progressive disease. Regional lymph node metastasis is a frequent finding and may be the first sign of recurrence. Involvement of the gastrointestinal tract is rare, but metastasis to the colon, small intestine, and stomach have been reported. Her...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/S0090-4295(99)80471-3
更新日期:1996-03-01 00:00:00
abstract::Inadvertent ureteric ligation is an uncommon complication of laparoscopic surgery. We illustrate the appearance and utility of multidetector computed tomography in such a case after laparoscopic anterior resection. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.04.069
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVES:Percutaneous perineal cryoablation of the prostate is a promising technique in the treatment armamentarium for clinically localized prostate carcinoma. We report our initial experience using a transrectal ultrasound-guided, third-generation, argon/helium cryosurgical system. METHODS:From January 2002 to Jul...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.03.027
更新日期:2007-07-01 00:00:00
abstract::Twenty-nine patients with bladder injuries requiring operative treatment as a result of blunt trauma are presented. Motor vehicle accidents accounted for 86 per cent of the injuries. Hypotension and gross hematuria were the most prevalent clinical features, 68 per cent and 97 per cent, respectively. All patients had m...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90144-6
更新日期:1988-03-01 00:00:00
abstract:OBJECTIVE:To compare survival outcomes and diversion-related complications of patients with and without a history of pelvic irradiation who underwent radical cystectomy. PATIENTS AND METHODS:Three hundred sixty-four patients underwent radical cystectomy for bladder cancer (BCa) from July 2001 to September 2013. Thirty...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.02.061
更新日期:2015-07-01 00:00:00
abstract::One of the primary antibacterial defense mechanisms of the bladder is the action of the luminal mucopolysaccharide layer against adsorption of inoculated bacteria. Previous studies have shown that local instillation of the mucopolysaccharide heparin can prevent bacterial adsorption on the bladder mucosa denuded of thi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90362-9
更新日期:1981-09-01 00:00:00
abstract::The place of whole-lung tomography in urologic malignancy has not been established. We reviewed 88 cases of known or suspected urologic malignancy in which tomography was used. Most patients had renal, bladder, or testicular tumors. Of the 68 patients with negative screening chest roentgenograms, all but 2 had negativ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90380-4
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVE:To assess prostate cancer (PCa) detection and prediction by combining the in-bore magnetic resonance imaging-guided transrectal targeted prostate biopsy (MRGB) with prostate-specific antigen (PSA) parameters and the Prostate Health Index (PHI) in case of negative 12-core standard biopsy. MATERIALS AND METHOD...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.08.019
更新日期:2017-12-01 00:00:00