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AUA Releases New Clinical Guideline on Urologic Trauma
Targets five primary urotrauma areas

Linthicum, MD, May 14, 2014 — Worldwide, traumatic injuries are the sixth leading cause of death and the fifth leading cause of moderate or severe disability, and is why the American Urological Association (AUA) released its first evidence-based clinical guideline for appropriate diagnosis and intervention strategies in the setting of urotrauma.

Trauma refers to injury caused by external force from a variety of mechanisms, including traffic - or transportation-related injuries, falls, assault and explosions. Urotrauma includes any damage to the urinary tract or reproductive organs (including the kidneys, ureters, urinary bladder, urethra, and male and female genitalia) from a penetrating, blunt, blast, thermal, chemical or biological cause. The extent of urotrauma may be very severe and can affect one’s sexu­al function, fertility and ability to urinate. Urologic injury often occurs in the context of severe multisystem trauma requiring close cooperation with trauma surgeons. The urologist remains an important consultant to the trauma team, helping to ensure the radiographic evaluation of urogenital structures is performed efficiently and accurately, and the function of the genitourinary system is preserved whenever possible.

“Although few urologic injuries are immediately life-threatening, they do account for some of the more frequent complications of trauma,said Allen F. Morey, MD, chair of the guideline development panel. “For example, recent Defense Department data suggests 13 percent of all combat injuries are genitourinary - this represents an increase of nearly 350 percent with the majority of these injuries involving external genitalia. The AUA’s new guideline offers practicing urologists, trauma surgeons, primary care providers and residents clinical guidance in the appropriate methods of evaluating and managing such genitourinary injuries.”

The Urotrauma Guideline was developed by a panel of AUA-selected experts, all of whom have specific expertise with regard to urologic trauma. It was then distributed to nearly 70 peer reviewers of varying backgrounds as part of the AUA’s extensive peer review process before being finally approved by the AUA Board of Directors. Non-invasive and invasive management strategies in patients with renal injury as well as prompt surgical exploration and repair in patients with symptoms of penile fracture are among the statements covered in this guideline. The guideline makes 32 statements in total and targets the five central urotrauma injury areas (renal, ureteral, bladder, urethral and genital).

The Urotrauma Guideline can be viewed in its entirety at:

NOTE TO REPORTERS: Experts are available to discuss this study. To arrange an interview with an expert, please contact the AUA Communications Office at 410-689-3932 or e-mail

About the American Urological Association: The 109th Annual Meeting of the American Urological Association takes place May 16 – 21 at the Orange County Convention Center in Orlando, FL.

Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is a leading advocate for the specialty of urology, and has more than 20,000 members throughout the world. The AUA is a premier urologic association, providing invaluable support to the urologic community as it pursues its mission of fostering the highest standards of urologic care through education, research and the formulation of health policy.

Christine Frey, AUA