Urological Trauma

Full Text Guidelines Summary of Changes Scientific Publications & Appendices Pocket Guidelines Archive Panel

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N.D. ), (Chair), N. Djakovic, , M. Gonsalves, , F.E. Kuehhas, , N. Lumen, , E. Serafetinidis, , D.M. Sharma, , D.J. :
Guidelines Associates: P-J. Elshout, , A. Sujenthiran, , E. Veskimäe

1.INTRODUCTION

1.1.Aim and objectives

The European Association of Urology (EAU) Guidelines Group for Urological Trauma prepared these guidelines in order to assist medical professionals in the management of urological trauma in adults. Paediatric trauma is addressed in the EAU Paediatric Urology Guidelines [1].

It must be emphasised that clinical guidelines present the best evidence available to the experts but following guideline recommendations will not necessarily result in the best outcome. Guidelines can never replace clinical expertise when making treatment decisions for individual patients, but rather help to focus decisions - also taking personal values and preferences/individual circumstances of patients into account.

1.2.Panel composition

The EAU Urological Trauma Guidelines Panel consists of an international group of clinicians with particular expertise in this area, The panel includes urologists and an interventional radiologist.

All experts involved in the production of this document have submitted potential conflict of interest statements, which can be viewed on the EAU Website Uroweb: http://uroweb.org/guideline/urological-trauma/?type=panel.

1.2.1.Acknowledgement

The EAU Urological Trauma Guidelines Panel gratefully acknowledge the support of Dr. P. Macek, who contributed as a Guidelines Associate to the ongoing systematic review on: Is conservative/minimally-invasive management of Grade 4-5 renal trauma safe and effective compared with open surgical exploration.

1.3.Available publications

A quick reference document (Pocket guidelines) is available, in print and in a number of versions for mobile devices. These are abridged versions which may require consultation together with the full text version. Also a number of translated versions, alongside several scientific publications in European Urology, the Associations scientific journal are available [2-5]. All documents can be viewed free access through the EAU website:

http://uroweb.org/guideline/urological-trauma/?type=appendices-publications.

1.4.Publication history

The Urological Trauma Guidelines were first published in 2003. This 2016 document presents a limited update of the 2015 publication. The literature was assessed for all chapters.

1.4.1.Summary of changes

The literature for the complete document has been assessed and updated, wherever relevant.

Key changes for the 2016 publication:

  • 4.1 Renal Trauma section – the imaging sections (4.1.2.3 Imaging: criteria for radiographic assessment, 4.1.2.3.1 Ultrasonography and 4.1.3.1.3 Interventional radiology have been updated). As a result, Figures 4.1.1 Evaluation of penetrating renal trauma in adults and 4.1.2 Evaluation of penetrating renal trauma in adults, have been adapted.
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