{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:18:59Z","timestamp":1788437939728,"version":"build-2803163510"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pediatric genitourinary trauma constitutes a significant proportion of childhood trauma, with unique anatomical and clinical considerations. While conservative management has become standard for stable patients in pediatric solid organ injuries, data regarding the management of genitourinary trauma in children is sparse. This study aims to characterize the spectrum, treatment strategies, and outcomes of pediatric genitourinary trauma in a tertiary care center in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective observational study was conducted between August 2018 and March 2022. Children under 12 years with documented genitourinary trauma were enrolled. Exclusion criteria included thermal injuries. Demographic details, clinical, radiological, and operative data, and their outcomes were recorded. Injuries were graded as per the American Association for the Surgery of Trauma criteria. Outcomes were monitored over 3 years. Statistical analysis was performed using Epi Info\u2122 7.2.2.2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of 62 admitted patients of trauma, 30 patients were included in the study (M: F = 4:1) with a mean age of presentation of 6.5 years. Different modes of injury were fall from height, road traffic accidents, and other causes included sexual assaults and post-circumcision complications. Renal trauma was the most common type, primarily Grade IV injuries. Bladder trauma ranged from Grade I\u2013V. Conservative treatment was effective in 74% of cases. Operative interventions were performed in eight patients. Complications occurred in 26%, predominantly among higher-grade injuries. However, statistical analysis revealed no significant correlation between injury grade and outcomes (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.15).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatric genitourinary trauma, though infrequent, often results in favorable outcomes even in high-grade injuries. Grade of injury does not correlate with the outcome in high-grade injuries in stable children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_19_26","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:00:57Z","timestamp":1783692057000},"page":"769-774","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Genitourinary Trauma"],"prefix":"10.4103","volume":"31","author":[{"given":"Gali","family":"Divya","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay Kumar","family":"Kundal","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, Jammu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. S. Bharathi","family":"Prabakaran","sequence":"additional","affiliation":[{"name":"Department of Pathology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinaki Ranjan","family":"Debnath","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"R1-20260903","first-page":"119","article-title":"Retrospective review of pediatric blunt renal trauma: A single institution's five year experience","volume":"76","author":"Richards","year":"2017","journal-title":"Hawaii J Med Public Health"},{"key":"R2-20260903","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/s13017-019-0274-x","article-title":"Kidney and uro-trauma: WSES-AAST guidelines","volume":"14","author":"Coccolini","year":"2019","journal-title":"World J Emerg Surg"},{"key":"R3-20260903","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/0971-9261.194618","article-title":"Epidemiology of pediatric trauma and its pattern in Urban India: A tertiary care hospital-based experience","volume":"22","author":"Kundal","year":"2017","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R4-20260903","doi-asserted-by":"crossref","first-page":"340","DOI":"10.14740\/jmc2901w","article-title":"The challenge of blunt abdominal trauma in children: Report of a case and review of management","volume":"8","author":"Minaya-Bravo","year":"2017","journal-title":"J Med Cases"},{"key":"R5-20260903","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/0090-4295(93)90274-E","article-title":"Genitourinary trauma in the pediatric patient","volume":"42","author":"McAleer","year":"1993","journal-title":"Urology"},{"key":"R6-20260903","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/ajps.ajps_14_22","article-title":"Spectrum of paediatric blunt abdominal trauma in a tertiary care hospital in India","volume":"20","author":"Divya","year":"2023","journal-title":"Afr J Paediatr Surg"},{"key":"R7-20260903","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1097\/01.ju.0000152220.31603.dc","article-title":"Nonoperative treatment of isolated posttraumatic intraperitoneal bladder rupture in children-is it justified?","volume":"173","author":"Osman","year":"2005","journal-title":"J Urol"},{"key":"R8-20260903","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1016\/j.juro.2014.05.103","article-title":"Demographics of pediatric renal trauma","volume":"192","author":"Grimsby","year":"2014","journal-title":"J Urol"},{"key":"R9-20260903","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.ijsu.2019.12.013","article-title":"Traumatic kidney injuries: A systematic review and meta-analysis","volume":"74","author":"Petrone","year":"2020","journal-title":"Int J Surg"},{"key":"R10-20260903","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/S0022-5347(17)37768-6","article-title":"Evaluation and treatment of blunt renal trauma","volume":"146","author":"Herschorn","year":"1991","journal-title":"J Urol"},{"key":"R11-20260903","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jpag.2008.03.002","article-title":"Genital trauma in pediatric and adolescent females","volume":"22","author":"Benjamins","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"R12-20260903","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1080\/003655998750015151","article-title":"The higher injury risk of abnormal kidneys in blunt renal trauma","volume":"32","author":"Schmidlin","year":"1998","journal-title":"Scand J Urol Nephrol"},{"key":"R13-20260903","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.juro.2014.05.004","article-title":"Urotrauma: AUA guideline","volume":"192","author":"Morey","year":"2014","journal-title":"J Urol"},{"key":"R14-20260903","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1097\/01.TA.0000141022.01878.C2","article-title":"Blunt renal injuries in children can be managed nonoperatively: Outcome in a consecutive series of patients","volume":"57","author":"Nance","year":"2004","journal-title":"J Trauma"},{"key":"R15-20260903","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.urology.2005.11.062","article-title":"Pediatric blunt renal trauma: Its conservative management and patterns of associated injuries","volume":"67","author":"Broghammer","year":"2006","journal-title":"Urology"},{"key":"R16-20260903","doi-asserted-by":"crossref","first-page":"2014","DOI":"10.1016\/S0022-5347(01)65422-3","article-title":"Efficacy of radiographic imaging in pediatric blunt renal trauma","volume":"156","author":"Morey","year":"1996","journal-title":"J Urol"},{"key":"R17-20260903","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1007\/s00268-001-0149-6","article-title":"Radiologic evaluation of pediatric blunt renal trauma in patients with microscopic hematuria","volume":"25","author":"Brown","year":"2001","journal-title":"World J Surg"},{"key":"R18-20260903","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1016\/j.juro.2008.12.007","article-title":"Single center experience with application of the ALARA concept to serial imaging studies after blunt renal trauma in children \u2013 Is ultrasound enough?","volume":"181","author":"Eeg","year":"2009","journal-title":"J Urol"},{"key":"R19-20260903","doi-asserted-by":"crossref","first-page":"e15135","DOI":"10.1097\/MD.0000000000015135","article-title":"Validity of routine reimaging of blunt renal trauma managed conservatively","volume":"98","author":"Tomasz","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"R20-20260903","first-page":"169","article-title":"Nonoperative management of nonvascular grade IV blunt renal trauma in children: Is follow-up imaging necessary?","volume":"182","author":"Umbreit","year":"2009","journal-title":"J Urol"},{"key":"R21-20260903","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1055\/s-0035-1554984","article-title":"Blunt renal trauma","volume":"4","author":"Dalton","year":"2015","journal-title":"J Pediatr Intensive Care"},{"key":"R22-20260903","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1111\/bju.14142","article-title":"Management of paediatric high-grade blunt renal trauma: A 10-year single-centre UK experience","volume":"121","author":"Wong","year":"2018","journal-title":"BJU Int"},{"key":"R23-20260903","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.urology.2017.09.030","article-title":"Renal trauma in pediatrics: A current review","volume":"113","author":"Fern\u00e1ndez-Ibieta","year":"2018","journal-title":"Urology"},{"key":"R24-20260903","first-page":"493","article-title":"The literature increasingly supports expectant (conservative) management of renal trauma \u2013 A systematic review","volume":"59","author":"Santucci","year":"2005","journal-title":"J Trauma"},{"key":"R25-20260903","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/S0090-4295(02)01548-0","article-title":"Pediatric renal trauma","volume":"59","author":"Nguyen","year":"2002","journal-title":"Urology"},{"key":"R26-20260903","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.jpedsurg.2013.09.053","article-title":"Prospective observational study with an abbreviated protocol in the management of blunt renal injury in children","volume":"49","author":"Graziano","year":"2014","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_19_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:03:45Z","timestamp":1788437025000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_19_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_19_26","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"assertion":[{"value":"2026-01-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}