Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
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- Blood at the urethral meatus, a palpable full bladder, inability to void, and/or gross hematuria are common findings with urethral trauma.
- Found in 14% of pelvic fractures
- High association with bilateral pubic rami fractures (aka, straddle fractures)
- Females: Urethral injuries are rare likely due to short, unexposed, and mobile urethras.
- Girls <17 yr old: Higher injury rate likely from a more flexible pelvic ring
- Bladder neck most commonly injured location.
- Males: The urethra is divided into 2 sections.
- Posterior urethra:
- More commonly injured (∼90%)
- Prostatic portion
- Anterior urethra:
- Injuries are rare
- Posterior urethra injuries comprise up to 90% of trauma:
- Type 1: Urethra stretched but not ruptured
- Type 2: Prostatic/membranous portions disrupted (either partially or completely); urogenital diaphragm intact
- Type 3: Urethral disruption both proximal and distal to the genitourinary diaphragm
- Rare with pelvic fractures
- Straddle injuries
- Childbirth or vaginal surgery
- Sexual trauma/abuse
- More common with pelvic fractures
- More common with straddle injuries
- Penetrating trauma, mutilation
- Sexual activity/instrumentation