Urethral Trauma

  • Etiology: blunt trauma, 2 types – posterior, anterior
  • Posterior urethra (membranous + prostatic urethra)
    — Etiology: deacceleration injury in MVA
    — Clinical: often associated with pelvic fracture
  • Anterior urethra (penile + bulbar urethra)
    — Etiology: saddle injury
  • Imaging: retrograde urethroragram is essential before urethral catheterization
  • Treatment: suprapubic drain
  • Clinical: signs are inability to void / blood at urethral meatus / perineal or scrotal bruising / elevation of prostate

Cases of Urethral Trauma