The diagnosis, management, and outcomes of pediatric renal injuries

Urol Clin North Am. 2006 Feb;33(1):33-40, vi. doi: 10.1016/j.ucl.2005.11.001.


Most pediatric renal trauma is minor and poses no significant danger to the child. A small percentage of children sustain a severe renal injury that demands immediate evaluation and decision of operative versus nonoperative management. Selective management of pediatric renal trauma based on mechanism of injury, hemodynamic stability,associated nonrenal injuries, and CT imaging has led to a renal exploration rate of 5%to 11% with renal salvage rates of more than 98%.

Publication types

  • Review

MeSH terms

  • Child
  • Decision Making
  • Diagnosis, Differential
  • Humans
  • Kidney / injuries*
  • Kidney Diseases* / diagnosis
  • Kidney Diseases* / etiology
  • Kidney Diseases* / therapy
  • Rupture
  • Trauma Severity Indices
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / diagnosis
  • Wounds, Nonpenetrating / therapy
  • Wounds, Penetrating / complications
  • Wounds, Penetrating / diagnosis
  • Wounds, Penetrating / therapy