trauma Flashcards
complications of trauma to the bladder
generealised periotnits
iatrogenic trauma to ureters
during abdominal or gynecological surgery where you have to ligate the ureters
like CS -
iatrogenic trauma to ureters
during abdominal or gynecological surgery where you have to ligate the ureters
like hysterectomy ( babas story) -
what are the risky points of damaing the ureter
at pelvice brim as it passes over the 2 common iliac arteries
when its beneath the uterine artery
near the uterovesico junction
whats it called when you join both the urters together
Transuretero-ureteronastomosis
Ureterocalicostomy
done when you have a problem with the urteropelvic jucntion
bladder injury is moslty assocated with what
pelvic fracture
what to do in a pelvic fracture
cytsography -nb!!!!
what to do in a pelvic fracture
cytsography -nb!!!!
intrapereitoneal
extraperiotoneal bladder injury
intra : requires immediate surgical treatment to prevent peritonitis
extra - contrast material is only around the urinary bladder and abdomianl cavity is not affected you treat by draining the bladder with catherter for 2 weeks then do a cystogram
is the bladder a peritoneal organ
its classed as a retroperitoneal organ as not all parts of it are covered in peritoneum just the top and theback
what kind of organ is urters
retroperiotneal
gold standard for bladder injury and other options
retrograde ureterocystography - gold
cystograohy
symptoms of bladder trauma
suprapubic pain
urinary retention , difficulty peeing
abdominal distention
hematuria
ileus/peritonits
causes of urethral trauma
external - blunt force trauma, pelvic fracture, accident or penetrating
internal- iatrogenic
- CATHETERISATION
- TURP
- EXTREME SEXUAL INTERCOURSE
URETHRORHAGIA VS HEMATURIA
HEMATURIA- you see when you are peeing
rhagia - happens spontaneously
urtehral trauma symptoms
pain
bleeding
dysuria
butterfly bruisng due to rupture of bucks fascia
causes of penile fracutre
whilst penis is erect, its forecefully bent e.g in sexual intercourse it slips out and is ithrust against the pelvies
signs of renal trauma
hematuria
pain on the affected side
signs of renal trauma
hematuria
pain on the affected side
what causes a high riding prostate
urtethral injuries (as blood accumulates in the space it pushes the prostate up , it causes it to feel boggy too
posterior urethral trauma
anteriaor
posterior- high riding porstate, blood around the urethral meatus
anterior: pain in perineum and hemotoma
compliactions of trauma to the tract
urinoma
urinary extravasation
abscess formation
most vulnerabl part of urethrea to trauma
membranous
intrapvlic urethral damage
posterior urethra
most common penile surgeries
phimos
erectile dysfucntion - like penile prostheiss etc
penile fractures
classifcation of trauma to theureter
Complete rupture
complete rupture
ligation of the Ureter
excision of part of the Ureter
perforation of the Ureter
