Urological Trauma Treatment in Lucknow

Tests for urinary tract injury

After an injury, tests help find which part of the urinary system is hurt and how serious it is.

• Physical examination: checks the belly, back, pelvis and genital area for pain, swelling or bleeding.
• Urine test: shows if there is blood in the urine, which can be a sign of injury.
• CT scan with contrast: shows injuries to the kidneys, ureters and bladder in detail, and is often part of the main trauma check.
• Retrograde urethrogram: an X-ray with dye passed gently into the urine opening to check the urine tube before a catheter is placed, if urethral injury is suspected.
• Ultrasound: useful for testicular or scrotal injury and for quick checks of the kidneys and bladder.
• Blood tests: check blood loss and kidney function.

How urological injuries are treated

1. The patient is first made stable, and the urology team works together with the emergency and trauma teams.
2. Many kidney injuries heal with bed rest, close watching and repeat scans, without surgery.
3. If urine cannot pass or the urine tube is injured, a catheter may be placed carefully, or a tube may be put into the bladder through the lower tummy.
4. Some injuries can be treated with a thin camera or a stent placed inside the ureter.
5. Surgery may be needed for bleeding that does not stop, a torn bladder, or injury to the testis or penis.
6. Some injuries, such as urethral damage, may need a planned repair weeks or months later.

Recovery after urinary tract injury treatment

1. First 24-48 hoursClose monitoring of blood pressure, urine and pain. Bed rest is often advised after kidney injury.
2. First 1-2 weeksMost patients go home once stable. Some go home with a catheter and are taught how to care for it.
3. Weeks 2-8Avoid heavy lifting, contact sports and strain until the doctor allows. Repeat scans may be done.
4. Long-term follow-upChecks for urine flow, narrowing, infection, kidney function, and sexual function where relevant.

Recovery depends on the type of injury, so always follow the doctor's advice on activity and follow-up.