Urogenital Trauma

Hemodynamically unstable blunt abdominal trauma with suspected renal injury. Next best step?

Stable patient with gross hematuria after high-speed MVC; optimal imaging?

Which finding mandates renal exploration at laparotomy for a zone II retroperitoneal hematoma?

AAST renal injury grade V is defined by:

Most blunt renal injuries (grades I–III) in stable patients are managed by:

Best therapy for ongoing arterial bleeding/pseudoaneurysm in a stable renal trauma patient?

Delayed flank pain and hematuria days after renal trauma with CT showing pseudoaneurysm. Management?

CT shows perinephric stranding and cortical laceration >1 cm without urinary extravasation. AAST grade?

CT shows laceration extending into the collecting system with urinary extravasation but intact renal pelvis/ureter. AAST grade?

Best initial management for a contained urinoma after grade IV renal injury in a stable patient?

Hematuria thresholds prompting CT after blunt trauma include:

One‑shot IVP during laparotomy is used to:

Most common cause of ureteral trauma is:

Best test to confirm/define suspected ureteral injury on CT (delayed excretory images equivocal)?

Management of a partial ureteral laceration recognized intraoperatively (mid‑ureter)?

Complete transection of distal ureter near the bladder. Preferred repair?

Proximal ureteral complete transection from deceleration injury. Best repair in healthy tissue?

Full bladder from alcohol + blunt trauma; CT cystogram shows intraperitoneal contrast extravasation at the dome. Management?

Pelvic fracture with extraperitoneal bladder rupture without complications. Management?

Which extraperitoneal bladder injury requires operative repair?

Classic triad suggesting urethral injury with pelvic fracture is:

First diagnostic step when urethral injury is suspected?

Management of posterior urethral injury (PFUI) in an unstable patient?

Stable PFUI patient in experienced hands—reasonable acute approach?

Testicular rupture suspected after blunt scrotal trauma with heterogeneous ultrasound and disrupted tunica. Management?

Penile fracture classic presentation includes:

Blood at the meatus after penile fracture indicates potential:

High‑flow (non‑ischemic) priapism after perineal blunt trauma is characterized by:

Degloving injury of the penis/scrotum management priority is:

Gunshot wound traversing the kidney in a stable patient; best evaluation?

Pediatric blunt renal trauma differs in that:

Pregnant trauma patient with suspected renal injury; preferred initial imaging?

Renal vein thrombosis/segmental infarct after deceleration with wedge-shaped cortical defect on CT; management in stable patient?

Bladder injury diagnosis requires which technique?

When removing Foley after extraperitoneal bladder injury, you should:

Ureteropelvic junction avulsion (“handlebar injury”) management includes:

Indication for renal exploration during laparotomy includes:

Complication of long-term suprapubic catheter use compared to urethral catheter is:

After repair of intraperitoneal bladder rupture, postoperative management should include:

In solitary kidney with grade IV laceration and ongoing bleeding but stable vitals, preferred approach?

After nonoperative management of a Grade IV renal laceration, which scenario warrants routine repeat CT within 48–72 hours?

Several weeks after blunt renal trauma, a patient develops new‑onset hypertension and flank discomfort; ultrasound shows a subcapsular collection compressing the kidney. Likely diagnosis and next step?

A clean penetrating injury to the anterior urethra (penile/bulbar) is identified with partial transection. Best management in experienced hands?

Pelvic fracture with combined extraperitoneal bladder rupture and rectal laceration. Recommended approach?

Traumatic testicular dislocation after motorcycle crash with testis palpable in the inguinal canal; Doppler flow present. Next step?

Complete penile amputation by sharp injury; best immediate preservation and definitive management?

Recurrent gross hematuria 2–3 weeks after renal trauma suggests which complication and therapy?

Penetrating scrotal injury with tunical violation and exposed testicular parenchyma. Optimal management?