ABSTRACT

Degree of hematuria may not correlate with severity of renal injury.

Management of renal trauma is guided by an imaging-based staging system.

Ureteral trauma demands a high index of suspicion.

Intraperitoneal bladder rupture requires urgent operative repair, whereas extraperitoneal rupture may be managed with catheter drainage.

In the acute setting, posterior urethral trauma should be managed with endoscopic realignment or suprapubic diversion.