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Not every pediatric GU injury fits neatly into the guidelines. In this episode of BackTable Urology, trauma reconstructive urologist Dr. Travis Pagliara (Hennepin County Medical Center) joins hosts Dr. Arthi Hannallah and Dr. Niccolo Passoni to walk through practical management of pediatric renal, bladder, urethral, and genital injuries. Through case-based discussion, they highlight diagnostic decision-making, when to observe versus intervene, and how to approach these patients in the acute setting.

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SYNPOSIS

The conversation also explores operative pearls, the role of technologies like the Optilume balloon, and why thoughtful short-term follow up is critical for both patient outcomes and clinician learning. Together, they emphasize a measured, conservative mindset whenever appropriate to minimize morbidity while delivering high-quality trauma care.

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TIMESTAMPS

00:00 - Introduction
03:07 - Kidney and Ureteric Trauma
19:16 - Urethral Trauma
34:42 - MRI vs Ultrasound
47:56 - Collaboration in Reconstructive Urology
52:26 - Testicular Trauma
57:29 - Epididymal Injury
01:02:35 - Follow-Ups Matter
01:05:14 - Foreign Body Stories
01:06:52 - Career Advice