Rupture of the anterior urethra is usually caused by a fall astride a projecting object. Clinical features include blood in the urethra, a perineal hematoma, and retention of urine. Treatment involves gentle catheterization in the operating room. If catheterization is not possible, open surgical repair of the tear is performed through a perineal incision. Complications can include infection and stricture formation.

1. en love da Homoeopathy
RUPTURE OF
URETHRA (Anterior
Urethra)

2. RUPTURE OF
URETHRA (Anterior
Urethra)

3. RUPTURE OF URETHRA(Anterior
Urethra)
• Usually, due to a fall astride a
projecting object, like in sailing
ships, cycling, over loose
manhole cover, gymnasium.

4. CLINICALFEATURES
• Triad ™
• Blood in external
meatus (Urethral
haemor rhage) ™
• Perineal
haematoma ™
• Retention of urine
• Rupture may be complete
or incomplete.
• Total or partial.
INVESTIGATION
• X-raypelvis
• US abdomen.
• diagnosedclinically.
TREATMENT
• Patient shouldbe told not
to try to pass urine
• if passed, then
extravasationof urine
occurs.
• In operation theatre, one
attempt of urethralcathe
terisationis triedgently.
• If able to pass a catheter,
thenit is left in place.

5. • Oftenperineal haematoma
whichoccurs, has to be
drained.
• Antibiotics should be given
to prevent sepsis.
• If catheter fails to pass, then
under general anaesthesia,
↓
in lithotomy position, SPCis
done.
↓
Bulbous urethra is exposed
through perineal midline
incision
↓
and tear is sutured with an
indwelling Foley’s catheter.
↓
Drainis then placed intothe
perineum.
↓
If suturing is not possible
(sometimes),
↓
thenperineal urethrostomy is
doneand at later stages
↓
continuity is maintained
(usually after 3 months).

6. COMPLICATION
• Infection ™
• Extravasationof urine ™
• Stricture urethra
REFERENCE
1. SRB's Manual of Surgery
by SriramBhat M
2. A Manual on Clinical
Surgeryby Das
3. A Concise textbookof
Surgeryby Das

7. A
Special Thanks
To A Very
Special Doctor