Din toate leziunile traumatice ale sistemului genitourinar mai frecvent se întâlnesc traumele rinichilor. Tratamentul reuşit al pacienţilor cu traumatism renal indică necesitatea aprecierii gradului de afectare renală traumatică şi respectarea indicaţiilor pentru exploraţia chirurgicală a rinichiului lezat. Aprecierea rapidă clinică a leziunilor, evaluarea completă imagistică şi de laborator, tratamentul conservativ sau chirurgical selectiv, bazat pe stadializarea şi gradarea traumei renale AAST, stau la baza managementului contemporan al traumatismului renal. Studiul prezintă experienţa de diagnostic şi tratament a 78 de bolnavi internaţi în secţia Urologie a CNSPMU timp de 5 ani (2002 - 2006).

Of all injuries to the genitourinary system, injuries to the kidneys from external trauma are the most common. Successful management of patients with renal trauma requires defi nition of the extent of injury and knowledge of the indications for exploration. Rapid assessment of the injuries, complete laboratory and imagistic evaluation and selective treatment approach based on the standard AAST criteria and grading, caused a breakthrough in the management of renal trauma patients. This review is addressed to the standard approach on evaluation and treatment of the trauma patients and the assessment of the 5 years experience of the Department of Urology of the National Center of Emergency Medicine from Chisinau in management of this group of patients. The 78 cases of treated renal trauma are reviewed.