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Research Paper | Urology | Volume 15 Issue 8, August 2026 | Pages: 998 - 1001 | India
Renal Trauma: A 2-Year Retrospective Review of Injury Severity, Treatment Approaches, and Outcomes from a Tertiary Centre
Abstract: Background: Renal trauma represents a clinically important component of abdominal and genitourinary trauma. Contemporary management increasingly favors renal preservation and non-operative treatment in appropriately selected patients. This study evaluated the injury profile, management strategies, and short-term in-hospital outcomes of renal trauma at a tertiary-care centre. Methods: A retrospective review was performed of 20 patients with renal trauma managed at MGM Hospital, Kamothe, Navi Mumbai, between January 2024 and November 2025. Demographic characteristics, mechanism and side of injury, AAST injury grade, hemodynamic status, treatment, hospital stay, complications, and mortality were reviewed. Data were analyzed descriptively using SPSS version 26. Results: Twenty patients were included; 15 (75%) were male and 5 (25%) were female, with a mean age of 29.1 years and median age of 30 years. Road traffic accidents accounted for 18 (90%) cases and assault for 2 (10%). Left-sided injury occurred in 12 (60%) and right-sided injury in 8 (40%). Seventeen patients (85%) were hemodynamically stable. AAST Grade I, Grade II?III, Grade IV, and Grade V injuries occurred in 5 (25%), 8 (40%), 4 (20%), and 3 (15%) patients, respectively. Conservative management was used in 13 (65%), DJ stenting in 6 (30%), and nephrectomy in 1 (5%). No mortality or documented in-hospital complications occurred, and mean hospital stay was 7 days. Conclusion: Most renal trauma in this cohort was successfully managed without open surgery. Even selected high-grade injuries were managed conservatively in stable patients. Early contrast-enhanced imaging, AAST grading, close monitoring, and selective minimally invasive intervention are central to renal preservation.
Keywords: renal trauma, blunt renal injury, AAST grading, conservative management, DJ stenting, nephrectomy, renal preservation
How to Cite?: Dr. Swapnil Nikam, Dr. Piyush Singhania, Dr. Preet Jain, Dr. Dhaval Desai, "Renal Trauma: A 2-Year Retrospective Review of Injury Severity, Treatment Approaches, and Outcomes from a Tertiary Centre", Volume 15 Issue 8, August 2026, International Journal of Science and Research (IJSR), Pages: 998-1001, https://www.ijsr.net/getabstract.php?paperid=MR26814171005, DOI: https://dx.doi.org/10.21275/MR26814171005