For the 2020 Management of Urological Trauma Guidelines, new and relevant evidence has been identified, collated and appraised through a structured assessment of the literature. A broad and comprehensive literature search, covering all sections of the Urological Trauma Guidelines was performed. The scope search identified 3,173 unique references of which 109 full texts were reviewed resulting in 17 additional references and text updates being incorporated throughout the 2020 version of the Urological trauma Guidelines. Specific changes include:
- 4.4.4 Summary of evidence and recommendations for the evaluation and management of urethral trauma – the recommendations for the treatment of partial and complete blunt anterior urethral injuries have been updated (see below).
- Figure 4.4.1: Management of anterior urethral injuries in men has been updated.
| Summary of evidence | LE |
| With urinary diversion (suprapubic or transurethral catheter) satisfactory urethral luminal re-canalisation may occur in up to 68% after partial blunt anterior urethral ruptures. | 3
|
| Complete blunt anterior urethral ruptures are unlikely to be fixed by urinary diversion alone, whereas immediate urethroplasty has an equal success rate compared to delayed urethroplasty. | 3
|
| Recommendations | Strength rating |
| Treat partial blunt anterior urethral injuries by suprapubic or urethral catheterisation. | Strong
|
| Treat complete blunt anterior urethral injuries in males by immediate urethroplasty. | Weak
|