emDocs - September 03, 2018 - By Arthur J., Chadwick S & Ellington C
Edited by Koyfman A and Long B
"Key points
- GU trauma is common, occurring in 10% of traumas.
- The classic teaching of high riding prostate, perineal hematoma, and pain with or inability to urinate is not sensitive for GU trauma.
- Gross hematuria should prompt consideration of GU trauma.
- Timing of contrast is critical to assessing the GU system for injury.
- Conventional cystography is equally as sensitive as CT cystography.
- A RUG should be performed prior to catheterization among patients with gross hematuria, inability to void, or a high index of suspicion for urethral injury.
- Ultrasound is the primary imaging modality for the penis and scrotum."