Hematuria as guideline for radiodiagnostic assessment in pediatric urogenital trauma

Abstract

Pediatric trauma patients were retrospectively evaluated to investigate the correlation between urogenital tract injuries and hematuria degree in 43 consecutive patients who presented with a history of trauma and hematuria. Urogenital trauma were detected in 21 of 43 patients. The mechanisms of urogenital trauma were blunt in 17 (81 %) and penetrating in four (19 %) of the 21 patients. An intravenous urogram and/or an ultrasonography were performed as an emergency procedure to the patients with hematuria. Contrast computed tomography and retrograde urethrogram were also performed by clinical suspi¬cion. None of eighteen patients with 0-4 RBCs/HPF^ one (9.1%) of eleven patients with 4-20 RBCs/HPF, seven (87.5%) of eight patients with 20-35 and more RBCs/HPF on their urinaiysis and all patients with macroscopic hema¬turia had urinary tract injury. The distribution of urogenital trauma of 21 patients were as follows, seven renal, one bladder, five urethra!, four vaginal, two vulvo-perineal and two scrotal injuries. The occurrence of a urinary tract injury was higher with the increasing severity degree of hematuria.