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Urinoma

MedGen UID:
272034
•Concept ID:
C1313921
•
Finding
Synonym: Urinomas

Definition

An encapsulated accumulation of URINE in the retroperitoneal area. It has the appearance of a cyst (CYSTS). Urinoma is usually caused by URETERAL OBSTRUCTION, renal trauma or perforation of the renal collecting system. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUrinoma

Professional guidelines

PubMed

Perinephric transplant fluid collection approach and management.
Alshamsi I, Alshamsi H, Al Falahi S, Sharma A, Halawa A
Saudi J Kidney Dis Transpl 2019 May-Jun;30(3):564-570. doi: 10.4103/1319-2442.261328. PMID: 31249219
Contemporary evaluation and management of renal trauma.
Chouhan JD, Winer AG, Johnson C, Weiss JP, Hyacinthe LM
Can J Urol 2016 Apr;23(2):8191-7. PMID: 27085822
Imaging and differential diagnosis of suprarenal masses in the fetus.
Maki E, Oh K, Rogers S, Sohaey R
J Ultrasound Med 2014 May;33(5):895-904. doi: 10.7863/ultra.33.5.895. PMID: 24764345

Recent clinical studies

Etiology

Postoperative Complications After Robotic Partial Nephrectomy.
Connor J, Doppalapudi SK, Wajswol E, Ragam R, Press B, Luu T, Koster H, Tamang TL, Ahmed M, Lovallo G, Munver R, Stifelman MD
J Endourol 2020 Jan;34(1):42-47. Epub 2019 Nov 11 doi: 10.1089/end.2019.0434. PMID: 31588795
Perinephric transplant fluid collection approach and management.
Alshamsi I, Alshamsi H, Al Falahi S, Sharma A, Halawa A
Saudi J Kidney Dis Transpl 2019 May-Jun;30(3):564-570. doi: 10.4103/1319-2442.261328. PMID: 31249219
Diagnosis and management of urinary extravasation after high-grade renal trauma.
Keihani S, Anderson RE, Hotaling JM, Myers JB
Nat Rev Urol 2019 Jan;16(1):54-64. doi: 10.1038/s41585-018-0122-x. PMID: 30470786
Imaging non-vascular complications of renal transplantation.
Kim N, Juarez R, Levy AD
Abdom Radiol (NY) 2018 Oct;43(10):2555-2563. doi: 10.1007/s00261-018-1566-4. PMID: 29550956
Extraperitoneal laparoscopic repair of ureteropelvic junction obstruction: initial experience in 15 cases.
Ben Slama MR, Salomon L, Hoznek A, Cicco A, Saint F, Alame W, Antiphon P, Chopin DK, Abbou CC
Urology 2000 Jul;56(1):45-8. doi: 10.1016/s0090-4295(00)00558-6. PMID: 10869620

Diagnosis

Urinoma.
Society for Maternal-Fetal Medicine (SMFM), Connolly K, Norton ME
Am J Obstet Gynecol 2021 Nov;225(5):B34-B35. Epub 2021 Sep 8 doi: 10.1016/j.ajog.2021.06.049. PMID: 34507797
Perinephric transplant fluid collection approach and management.
Alshamsi I, Alshamsi H, Al Falahi S, Sharma A, Halawa A
Saudi J Kidney Dis Transpl 2019 May-Jun;30(3):564-570. doi: 10.4103/1319-2442.261328. PMID: 31249219
Diagnosis and management of urinary extravasation after high-grade renal trauma.
Keihani S, Anderson RE, Hotaling JM, Myers JB
Nat Rev Urol 2019 Jan;16(1):54-64. doi: 10.1038/s41585-018-0122-x. PMID: 30470786
Imaging Complications of Renal Transplantation.
Moreno CC, Mittal PK, Ghonge NP, Bhargava P, Heller MT
Radiol Clin North Am 2016 Mar;54(2):235-49. Epub 2015 Dec 22 doi: 10.1016/j.rcl.2015.09.007. PMID: 26896222
Urinoma.
McInerney D, Jones A, Roylance J
Clin Radiol 1977 May;28(3):345-51. doi: 10.1016/s0009-9260(77)80195-5. PMID: 862327

Therapy

Consensus on definition and severity grading of lymphatic complications after kidney transplantation.
Mehrabi A, Kulu Y, Sabagh M, Khajeh E, Mohammadi S, Ghamarnejad O, Golriz M, Morath C, Bechstein WO, Berlakovich GA, Demartines N, Duran M, Fischer L, Gürke L, Klempnauer J, Königsrainer A, Lang H, Neumann UP, Pascher A, Paul A, Pisarski P, Pratschke J, Schneeberger S, Settmacher U, Viebahn R, Wirth M, Wullich B, Zeier M, Büchler MW
Br J Surg 2020 Jun;107(7):801-811. Epub 2020 Mar 30 doi: 10.1002/bjs.11587. PMID: 32227483
Postoperative Complications After Robotic Partial Nephrectomy.
Connor J, Doppalapudi SK, Wajswol E, Ragam R, Press B, Luu T, Koster H, Tamang TL, Ahmed M, Lovallo G, Munver R, Stifelman MD
J Endourol 2020 Jan;34(1):42-47. Epub 2019 Nov 11 doi: 10.1089/end.2019.0434. PMID: 31588795
Perinephric transplant fluid collection approach and management.
Alshamsi I, Alshamsi H, Al Falahi S, Sharma A, Halawa A
Saudi J Kidney Dis Transpl 2019 May-Jun;30(3):564-570. doi: 10.4103/1319-2442.261328. PMID: 31249219
Interventional radiologic management of renal transplant dysfunction: indications, limitations, and technical considerations.
Kobayashi K, Censullo ML, Rossman LL, Kyriakides PN, Kahan BD, Cohen AM
Radiographics 2007 Jul-Aug;27(4):1109-30. doi: 10.1148/rg.274065135. PMID: 17620470
Extraperitoneal laparoscopic repair of ureteropelvic junction obstruction: initial experience in 15 cases.
Ben Slama MR, Salomon L, Hoznek A, Cicco A, Saint F, Alame W, Antiphon P, Chopin DK, Abbou CC
Urology 2000 Jul;56(1):45-8. doi: 10.1016/s0090-4295(00)00558-6. PMID: 10869620

Prognosis

Urinoma.
Society for Maternal-Fetal Medicine (SMFM), Connolly K, Norton ME
Am J Obstet Gynecol 2021 Nov;225(5):B34-B35. Epub 2021 Sep 8 doi: 10.1016/j.ajog.2021.06.049. PMID: 34507797
Development of Ureteral Stenosis/Obstruction in Kidney Transplant.
Hernández Garcia E, Ruiz Fuentes MC, Gracia Guindo MC, Lopez Gonzalez Gila JD, Ruiz Fuentes N, Osuna Ortega A
Transplant Proc 2020 Mar;52(2):527-529. Epub 2020 Feb 13 doi: 10.1016/j.transproceed.2019.11.047. PMID: 32061424
Postoperative Complications After Robotic Partial Nephrectomy.
Connor J, Doppalapudi SK, Wajswol E, Ragam R, Press B, Luu T, Koster H, Tamang TL, Ahmed M, Lovallo G, Munver R, Stifelman MD
J Endourol 2020 Jan;34(1):42-47. Epub 2019 Nov 11 doi: 10.1089/end.2019.0434. PMID: 31588795
Diagnosis and management of urinary extravasation after high-grade renal trauma.
Keihani S, Anderson RE, Hotaling JM, Myers JB
Nat Rev Urol 2019 Jan;16(1):54-64. doi: 10.1038/s41585-018-0122-x. PMID: 30470786
Extraperitoneal laparoscopic repair of ureteropelvic junction obstruction: initial experience in 15 cases.
Ben Slama MR, Salomon L, Hoznek A, Cicco A, Saint F, Alame W, Antiphon P, Chopin DK, Abbou CC
Urology 2000 Jul;56(1):45-8. doi: 10.1016/s0090-4295(00)00558-6. PMID: 10869620

Clinical prediction guides

Urine leaks in children sustaining blunt renal trauma.
Ghani MOA, Snyder E, Xu MC, McKay KG, Foster J, Tong C, Clayton DB, Greeno A, Azam B, Zhao S, Hernanz-Schulman M, Lovvorn HN 3rd
J Trauma Acute Care Surg 2022 Sep 1;93(3):376-384. Epub 2022 Jan 5 doi: 10.1097/TA.0000000000003532. PMID: 34991128
Urinary leak following partial nephrectomy: a contemporary review of 975 cases.
Peyton CC, Hajiran A, Morgan K, Azizi M, Tang D, Chipollini J, Gilbert SM, Poch M, Sexton WJ, Spiess PE
Can J Urol 2020 Feb;27(1):10118-10124. PMID: 32065869
Postoperative Complications After Robotic Partial Nephrectomy.
Connor J, Doppalapudi SK, Wajswol E, Ragam R, Press B, Luu T, Koster H, Tamang TL, Ahmed M, Lovallo G, Munver R, Stifelman MD
J Endourol 2020 Jan;34(1):42-47. Epub 2019 Nov 11 doi: 10.1089/end.2019.0434. PMID: 31588795
Predictors of Recurrence and Complications in Pediatric Pyeloplasty.
Ceyhan E, Ileri F, Ceylan T, Aydin AM, Dogan HS, Tekgul S
Urology 2019 Apr;126:187-191. Epub 2019 Jan 22 doi: 10.1016/j.urology.2019.01.014. PMID: 30682463
Diagnosis and management of urinary extravasation after high-grade renal trauma.
Keihani S, Anderson RE, Hotaling JM, Myers JB
Nat Rev Urol 2019 Jan;16(1):54-64. doi: 10.1038/s41585-018-0122-x. PMID: 30470786

Recent systematic reviews

Posterior urethral valves, pressure pop-offs, and kidney function: systematic review and meta-analysis.
Khondker A, Kim K, Najafabadi BT, Nguyen DD, Kim JK, Yadav P, Brownrigg N, Richter J, E Chua M, Dos Santos J, Rickard M, Lorenzo AJ
World J Urol 2023 Jul;41(7):1803-1811. Epub 2023 Jun 17 doi: 10.1007/s00345-023-04451-7. PMID: 37330439
Prophylactic intra-abdominal drainage following kidney transplantation: a systematic review and meta-analysis.
Zawistowski M, Nowaczyk J, Domagała P
Pol Przegl Chir 2021 Jun 9;93(4):1-10. doi: 10.5604/01.3001.0014.9166. PMID: 34515654
Predictive accuracy of prenatal ultrasound findings for lower urinary tract obstruction: A systematic review and Bayesian meta-analysis.
Keefe DT, Kim JK, Mackay E, Chua M, Van Mieghem T, Yadav P, Lolas M, Santos JD, Skreta M, Erdman L, Weaver J, Fermin AS, Tasian G, Lorenzo AJ, Rickard M
Prenat Diagn 2021 Aug;41(9):1039-1048. Epub 2021 Aug 5 doi: 10.1002/pd.6025. PMID: 34318486
Flexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi: results from a systematic review.
Ishii H, Griffin S, Somani BK
J Pediatr Urol 2014 Dec;10(6):1020-5. Epub 2014 Aug 28 doi: 10.1016/j.jpurol.2014.08.003. PMID: 25241397
Nonoperative management of nonvascular grade IV blunt renal trauma in children: meta-analysis and systematic review.
Umbreit EC, Routh JC, Husmann DA
Urology 2009 Sep;74(3):579-82. Epub 2009 Jul 9 doi: 10.1016/j.urology.2009.04.049. PMID: 19589574

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