ABSTRACT

Trauma is the leading cause of death between the ages of 1 and 44 years, and accounts for almost 50% of deaths in children aged 1 to 14 in the United States (1). Injury to the urinary tract occurs in 3-10% of patients suffering from blunt or penetrating trauma and is second only to the central nervous system in frequency of childhood injury (2,3). However, death due to genitourinary trauma is uncommon. Although the pediatric urologist is rarely involved in the initial resuscitation of the trauma patient, the trauma surgeon relies heavily upon him to deal with complex injuries to the urological system. The team approach to management provides the highest level of expertise in reducing morbidity and preventing mortality.