Diagnosis and treatment of acute urogenital and genitalia tract XXXX : 10-year clinical experience.

@entity1 @entity8 @entity1901 @entity1494 @entity548 @entity1416 @entity3041 @entity10552 @entity546 @entity790 @entity130
OBJECTIVE: To report our 10-year diagnosis and treatment experience of acute urogenital and genitalia tract @entity130 and outline the management of the @entity130 . METHODS: We reviewed the diagnoses and treatments of 208 cases of acute kidney, ureter, bladder, urethra, or @entity10552 in our department between March 2002 and March 2012. The @entity1 data including general information, injury position and mechanism, diagnosis and treatment, the follow-up information was analyzed and summarized. RESULTS: Of 62 @entity1 with @entity8 examined by ultrasound and computed tomography (CT) examination, 45 were treated conservatively, 9 with superselective @entity1416 , and 8 with nephrectomy. Intravenous pyelogram (IVP) was conducted in two @entity1 with @entity1901 , one was treated with cystoscopic ureteral catheterization and the other with ureteric reimplantation. @entity1494 (6 @entity1 ) confirmed with a waterflood susceptibility test combined with CT scans underwent laparotomy and the bladder suturing was done. Of 92 @entity1 with @entity130 , 6 were treated with a nonoperative approach (indwelling catheter), 18 with urethral realignment, 35 with cystoscopic urethral realignment, 29 with end-to-end anastomotic urethroplasty, and 4 with urethral repairmen. Of the 24 cases with @entity546 , 1 underwent conservative treatment, 8 were treated with debridement and suture ligation, and 15 were managed with suture repair of the penis white membrane. Of the 24 cases with @entity546 , 1 underwent conservative treatment, 8 were treated with debridement and suture ligation, and 15 were managed with suture repair of the penis white membrane. During the follow-up period, 62 @entity1 with @entity8 had normal renal function. Neither of the two @entity1 with @entity1901 developed @entity3041 . Twenty-nine @entity1 with @entity130 suffered from urethral structure. All @entity1 with @entity130 recovered. CONCLUSIONS: Urethra and @entity8 are the most common acute urogenital system @entity130 . Superselective @entity1416 can effectively cease @entity548 and maximally protect renal function and ureterorenoscopic realignment is an easily operative and minimally invasive technique in the treatment of @entity130 . As diagnosis and treatment techniques continue to evolve, minimally invasive procedures should be widely used in acute @entity790 .
