Genitourinary Tract Injuries

About 10 percent of all injuries seen in the emergency room involve the genitourinary tract, including the kidneys, bladder, genitals, ureters and urethra.

At UCSF Medical Center, we use advanced reconstructive surgical techniques to correct a variety of injuries and abnormalities to the male genitourinary tract. We specialize in the management and treatment of the following:

  • Urethral strictures and obstructions, which cause voiding problems related to the normal passage of urine and semen. Our patients have a high success of voiding normally after urethral reconstructive surgery.
  • Genital reconstruction for patients who have suffered a traumatic genital injury or have genital skin loss due to infection or other causes.
  • Management of traumatic injuries to the kidney, ureter, bladder, scrotum/testicles and penis.
  • Our program is led by a team of world-renowned experts in the field of urogenital trauma and genital and urethral reconstruction. Dr. Jack McAninch, who has written over 250 articles on the management of urethral abnormalities and urogenital trauma, is the director of the program.

Symptoms of genitourinary injury differ depending on the location of the trauma. However, some common symptoms may include:

  • Hematuria, a condition in which blood is present in the urine
  • Inability to urinate
  • Lower rib fractures
  • Fractures to the pelvic bone
  • Pain and/or bruising involving a person's side, groin or scrotum

Many injuries to the genitourinary tract are subtle and difficult to diagnose. Therefore, an early diagnosis and great diagnostic expertise are essential to prevent serious complications.

Your doctor will begin by taking a detailed medical history to determine whether you experienced any events, such as an accident or fall, that may have injured your genitourinary tract. A physical examination will then be performed to check for any symptoms associated with injuries to the genitourinary tract.

If injuries are suspected, the following tests may be recommended to make a definite diagnosis:

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Treatment of genitourinary injuries can be complex and depends on a number of factors, including the severity, location and type of injury, the patient's health and whether the patient has any other injuries.

Short-Term Management

Once your doctor has diagnosed and assessed your injury, short-term management may be performed before a definitive treatment plan is developed. Short-term management may include:

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Reviewed by health care specialists at UCSF Medical Center.

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UCSF Clinics & Centers


Urology Practice
400 Parnassus Ave., Sixth Floor, Suite A610
San Francisco, CA 94143
Phone: (415) 353-2200
Fax: (415) 353-2641
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