Summary of changes

For the 2023 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 1,544 unique references of which 111 full texts were reviewed resulting in 24 additional references and text updates being incorporated throughout the 2023 version of the Urological trauma Guidelines.

The most notable changes include:

Update on section 3.1, the definition, and epidemiology of trauma.
New Summary of Evidence and Recommendation for section 4.1.7 for the evaluation and management of renal trauma.

Summary of evidence	LE
Ureteric stenting in stable asymptomatic Grade 4 renal injuries is not necessary.	3

Recommendations	Strength rating
Management
Insert urinary system drainage (ureteral stenting, nephrostomy) or perirenal drainage in cases of persistent or symptomatic urinary leak.	Strong
Follow-up approximately three months after major renal injury with urinalysis, individualised radiological investigation eg., nuclear scintigraphy, CT or ultrasound, blood pressure measurement and renal function tests. Longer term annual follow-up for blood pressure is recommended.	Weak

Varied text updates and new additional references throughout section 4.2.1 and 4.2.2