Kidney Trauma
At Montefiore Einstein Urology, you can access exceptional care for kidney, or renal, trauma. As a global leader in urology, we are an academic-based, national and international referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.
Ranked in the top 1% of all hospitals in the nation for urology according to U.S. News & World Report, Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of world-renowned specialists is passionate about uncovering the latest diagnostic approaches and treatments that can improve outcomes.
At Montefiore Einstein Urology, you can expect compassionate, personalized, research-driven treatment plans that meet the highest standards for quality and safety. In addition, we offer patients a full range of support services, from nutritional guidance to rehabilitative therapies.
When you need kidney trauma care, turn to our dedicated multidisciplinary team for a personalized treatment plan.
What Is Kidney Trauma?
Kidney trauma refers to injury to one or both kidneys caused by external forces such as blunt trauma (from motor vehicle accidents, falls, or sports injuries) or penetrating trauma (from sharp objects, gunshot wounds, or stabbings). These injuries can range from mild contusions to severe lacerations or vascular damage, potentially impairing kidney function. Immediate evaluation and appropriate treatment are essential to prevent complications.
Causes of Kidney Trauma
Kidney trauma is typically caused by blunt or penetrating injuries. Blunt trauma results from impacts such as car accidents, falls, or direct blows to the back or abdomen, which can damage the kidney without breaking the skin. Penetrating trauma occurs when an object such as a knife or bullet pierces the skin and damages the kidney. Kidney trauma may also result from high-energy injuries, such as crush injuries or severe physical exertion.
Signs & Symptoms of Kidney Trauma
Symptoms of kidney trauma depend on the severity of the injury and may include visible blood in the urine (hematuria), bruising or pain in the lower back or abdomen, and swelling near the injury site. In severe cases, symptoms can include low blood pressure, difficulty urinating, or shock due to internal bleeding. Patients with penetrating trauma will also have an entry wound at the site of injury.
Diagnosing Kidney Trauma
Diagnosing kidney trauma begins with a thorough physical examination and urinalysis to check for blood in the urine. Imaging studies, such as a computed tomography (CT) scan with contrast, are the gold standard for assessing the severity and location of the injury. Additional diagnostic tools, including ultrasound or intravenous pyelogram (IVP), may be used to evaluate kidney function and detect complications such as vascular injuries or urinary leakage.
Treating Kidney Trauma
Treatment for kidney trauma varies depending on the severity of the injury and the patient’s overall health:
- Mild Cases: Rest, pain management and close monitoring can ensure proper healing.
- Moderate to Severe Cases: Minimally invasive surgical techniques may be required to repair kidney lacerations, control bleeding or address urinary leakage.
- Life-Threatening Cases: Emergency surgery including nephrectomy (removing the kidney) may be necessary.