Two stage urethroplasty of bulbar urethra

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Two stage urethroplasty of bulbar urethra

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This document discusses injuries to the bladder and urethra, providing details on diagnosis and management. It notes that bladder injuries occur in 1.6% of blunt trauma victims and are usually associated with pelvic fractures. Gross hematuria is present in most bladder injury cases. Urethral injuries in males are divided into those affecting the posterior urethra associated with pelvic fractures, and anterior injuries from blunt or penetrating trauma. Diagnosis is via retrograde cystography or urethrography. Most extraperitoneal bladder ruptures are now managed non-operatively with catheter drainage, while intraperitoneal ruptures require surgical repair. Urethral injuries may be treated with immediate surgical closure, catheter drainage

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The document discusses various types of genitourinary trauma including renal trauma, bladder injuries, urethral injuries, testicular injuries, and penile fracture. Renal trauma is classified into 5 grades based on the severity of injury and most blunt renal traumas are managed conservatively. Bladder injuries are diagnosed using cystograms and managed either with catheter drainage or operative repair depending on the injury. Urethral injuries can involve the anterior or posterior urethra and are treated with suprapubic cystostomy or urethroplasty. Testicular injuries require early exploration and surgery if ruptured. Penile fractures require prompt surgical repair to prevent complications.

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