Urological Trauma

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

2019

For the 2019 Urological Trauma Guidelines a comprehensive restructuring and update of the entire Guidelines has been completed. New and relevant evidence has been identified, collated and appraised through a structured assessment of the literature. All summary of evidence tables and recommendations have be reviewed and adapted, as have all treatment algorithms. In light of this extensive update all users are highly recommended to read the 2019 Urological Guidelines in full to ensure they are correctly informed regarding the clinical content of the Guidelines.

2018

For the 2018 edition of the EAU Urological Trauma Guidelines the Guidelines Office have transitioned to a modified GRADE methodology. For each recommendation within the guidelines there is an accompanying online strength rating form which addresses a number of key elements namely:

  1. the overall quality of the evidence which exists for the recommendation;
  2. the magnitude of the effect (individual or combined effects);
  3. the certainty of the results (precision, consistency, heterogeneity and other statistical or study related factors);
  4. the balance between desirable and undesirable outcomes;
  5. the impact of patient values and preferences on the intervention;
  6. the certainty of those patient values and preferences.

These key elements are the basis which panels use to define the strength rating of each recommendation. The strength of each recommendation is determined by the balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence, and nature and variability of patient values and preferences. The strength of each recommendation is represented by the words ‘strong’ or ‘weak’.

In addition, new and relevant evidence has been identified, collated and appraised through a structured assessment of the literature. A broad and comprehensive literature search, covering all sections of the Urological Trauma Guidelines was performed.  Additional references (10) and text updates have been incorporated throughout the text as a result of this search. Furthermore, all recommendations have been rephrased throughout the current document to aid in their implementation.

2017

For the 2017 Urological Trauma Guidelines, new and relevant evidence has been identified, collated and appraised through a structured assessment of the literature. A broad and comprehensive literature search, covering all sections of the Urological Trauma Guidelines was performed. Additional references and text updates have been incorporated throughout the text as a result of this search. All recommendations have been rephrased throughout the current document to aid in their implementation.

Systematic review results included in the 2017 Urological Trauma Guidelines include:

  • Is conservative/minimally-invasive management of Grade 4-5 renal trauma safe and effective compared with open surgical exploration?
  • What are the comparative outcomes of early endoscopic re-alignment versus suprapubic diversion alone for pelvic fracture related urethral injuries?

 

2016

All chapters of the 2016 RCC Guidelines have been updated, based on the 2015 version of the guideline.

Conclusions and recommendations have been rephrased and added to, throughout the current document.

Key changes in the 2016 print:

  • 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.

2015

The literature in the complete document has been assessed and updated, whenever relevant.

Key changes for the 2015 publication:
Figure 4.4.1 – Management of anterior urethral injuries in men, has been revised.

Conclusions and recommendations have been rephrased throughout the document.

2014

For this 2014 publication the literature has been assessed and updated across all chapters. The text has been condensed.

Chapter 7. Polytrauma, damage control and mass casualty events has been completely renewed.

2013

The entire Urological Trauma Guidelines have been updated, with the exception of the “Mass casualty events, triage, and damage control” which has not been revised in this current version of the trauma guidelines.