Özet:

Objective: Patients who suffered from blunt trauma to the genitourinary system (GUS) were evaluated retrospectively for factors related to renal trauma (RT).Material and Methods: Information (age, gender, type and severity of trauma, presence of additional organ injury, follow-up and treatment data) of patients who had experienced GUS trauma between February 2010 and July 2012 were collected from the patient charts. Grade 4 and 5 RT's were recorded as level according to the trauma organ severity scale and RT's above grade 2 were investigated using DMSA scintigraphy. Results: A total of 34 patients consisting of 21 males and 13 females (mean age 8.82) were reviewed. There were 22 cases of RT and 12 cases of extrarenal GUS trauma. There were also 11 Vehicle out Traffi c Accidents (VOTA), 4 Vehicle in Traffi c Accidents (VITA), 17 Falling from Height (FFH), and 2 explosion injury cases were detected. Grade 1 and 2 RT's were most common but 4 patients (18%) had grade 4 and 5 RT. Hematuria was present in 13 renal and 12 extrarenal cases. The RT was isolated in 7 and together with additional organ injury in 15 cases. The location was the right side in 15 and the left side in 7 RT cases. There were 8 patients who had grade 2 and higher degrees of injury and renal scintigraphy revealed decreased function in 4 of these children. A JJ stent was inserted for an expanding perirenal collection in 2 patients. Surgery was required for 9 patients who had exrarenal trauma. The rates of hematuria and surgery were higher in the extrarenal trauma group. The RT rate was low and the extrarenal GUS trauma rate high in the VOTA group while the opposite was true in the VITA and FFH groups. Hospitalization time, hematuria, need for surgery, scintigraphy results revealing decreased renal function, and left RT rates were significantly cantly higher in the level RT group compared with the non-severe RT group. Scintigraphy results revealing decreased renal function rates were also more common in left RT cases when compared with right RT cases. There was no difference in terms of other parameters. Conclusion: RT rates are higher in children with FFH and VITA so appropriate studies are required

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