Evaluation and management of renal injuries: Our experience at Urology Department CMC/SMBBMU Larkana, Pakistan

Nisar Ahmed Shaikh; Aamir Ali Shaikh; Muhammad Imran Soomro; Abdul Ghaffar Pirzado; Khub Chand Rohra; Riaz Hussain Mangrio

Abstract
Objective: To assess and manage status of renal injuries at our institution.
Methodology: This retrospective study comprised of records of 30 patients with renal injury between January 2016 to December 2019. Blunt and penetrating trauma at lumbar region and abdomen were included in the study while patients with DM, HTN and patients with preexisting renal diseases were excluded from study. All patients were followed up to 3 months for episodes of hematuria. Diagnostic information obtained from hospital record includes signs and symptoms, physical and systemic examination, age, gender, time of trauma, and comorbidity. All patients had Blood CP, ESR, Urine DR, Blood urea, Serum creatinine, Blood sugar level, Serum electrolyte, X-Ray abdomen sitting and lying, Ultrasound and CT KUB with contrast.
Results: Mean age of patients was 31±10.42 years with male to female ratio 1:0.2. Duration of time since injury was 2.15±0.86 hours with confident interval (CI 0-8) seen in causality with hematuria, abdominal and renal injury. Penetrating trauma was seen in 10(33.33%) patients and blunt trauma in 20(66.66%). 50% patients treated by the conservative management who were hemodynamically stable, while 7 (23.33%) needed explorative laparotomy and 8(26.66%) who had high-grade renal trauma needed Nephrectomy/Renal cortical repair. Two patients (6.66%) died due to multiple visceral injuries.
Conclusion: Renal injury is usually associated with multisystemic injury, so require timely evaluation and management to minimize urologic morbidity and mortality.

Key words: Renal injury, evaluation, management.

ABOUT JOURNAL About Publisher Contact Us Editorial & Peer Review Process	POLICIES Privacy Policy Editorial Policy Author's Rights and Obligations Conflict of Interest Policy Plagiarism Policy Advertising Policy	STATEMENTS Terms of Use Author's Rights and Obligations Publication Ethics and Publication Malpractice Statement Protection of Research Participants (Statement On Human And Animal Rights) License Information

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED, Scopus, Web of Science and Tehqeeqat

How to cite this article

	Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements