Urethral Injuries Ahmed S. Zugail Urology House Officer. Case: 26 year old . Medically free. Sudanese. MVC (pedestrian). ER 16/11. Urethral meatus bleeding. Lower abdominal pain. Acute urinary retention. . No past medical or surgical history. Smoker. Jeddah. ABCDE.
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Urethral InjuriesAhmed S. ZugailUrology House Officer
1 Dixon CM. Diagnosis and acute management of posterior urethral disruptions. In: McAninch JW, ed. Traumatic and Reconstructive Urology. Philadelphia, Pa: WB Saunders; 1996:347-55.
2 Fenton AS, Morey AF, Aviles R, Garcia CR. Anterior urethral stricture: etiology and characteristics. Urology 2005 Jun;65(6):1055-8 (level of evidence 3).
3 Vicente J, Rosales A, Montlleó M, Caffaratti J. Value of electrical dispersion as a cause of urethral stenosis after endoscopic surgery. Eur Urol 1992;21(4):280-3.
4 Dixon CM. Diagnosis and acute management of posterior urethral disruptions. In: McAninch JW, ed. Traumatic and Reconstructive Urology. Philadelphia, Pa: WB Saunders; 1996:347-55.
5 Koraitim MM, Marzouk ME, Atta MA, Orabi SS. Risk factors and mechanism of urethral injury in pelvic fractures. Br J Urol 1996 Jun;77(6):876-80 (level of evidence: 2b).
6 Lim PH, Chng HC. Initial management of acute urethral injuries. Br J Urol 1989 Aug;64(2):165-8 (level
of evidence: 3).
7 McAninch JW. Traumatic injuries to the urethra. J Trauma 1981 Apr;21(4):291-7 (level of evidence: 3).
1 - Retrograde urethrography: It is performed using gentle injection of 20-30 mL of contrast into the urethra. Examination is made for extravasation, which pinpoints the existence and location of the urethral tear.
3 - Computerized tomography: may miss lower urinary tract injuries and thus missing the suspicion for further evaluating studies of urethral injuries.9
9Lawson CM, Daley BJ, Ormsby CD, Enderson B. Missed injuries in the era of the trauma scan. J Trauma. Feb, 2011;70:452-6.
4 - Magnetic Resonance Imaging: has been used successfully to define defect length
and to determine the extent and direction of urethral dislocation and the extent of prostatic displacement, and it may help in planning the surgical approach. (Dixon et al, 1992) and (Koraitim and Reda, 2007).
Management of posterior urethral injuries in men
Management of anterior urethral injuries in men
Management of urethral injuries in women