Stoppen Sie das Leck - wie behandelt man Harnwegstrauma
Urinary tract trauma is a common presentation in clinical practice and can be caused by external trauma, iatrogenic injury or undiagnosed urinary tract obstruction. Emergency stabilisation is essential prior to diagnostic investigations and surgical management. Bladder rupture can be simple to repair. Rupture of the upper or lower urinary tract involve more complex decision making and possible a staged approach to definitive repair. Tube cystostomy placement is a simple and effective technique to provide urinary diversion of the lower urinary tract and assist with management of urethral trauma. In many cases of urethral trauma, if conservative management is not appropriate or fails, due to leakage or stricture, a urethrostomy procedure is indicated.
- Emergency stabilisation of the patient with urine leakage
- Placement of a temporary tube cystostomy for urinary diversion
- Surgical approaches to repair of the urinary tract
- Options for urethrostomy (prepubic, transpubic and perineal)