Straddle Injury: Trauma of the Anterior Urethra
The most common injuries of the anterior urethra are caused by a blunt trauma of the perineum (straddle injury) or by transurethral manipulation (Machtens et al, 2000).
Signs and Symptoms of an Anterior Urethral Injury
- Bloody discharge from the meatus
- Hematuria
- A Hematoma is normally confined to the perineum and penile shaft. If Buck's fascia is torn, the hematoma can extend into the scrotum.
- Urinary extravasation and phlegmone
- Urethral stricture: may become symptomatic up to 10 years later.
Diagnostic Work-Up
Retrograde urethrogramTreatment of an Anterior Urethral Injury
Insert a transurethral indwelling catheter with the help of fluoroscopy or after insertion of a guide wire, if necessary. The catheter is removed after 7–14 days, depending on the severity of the injury. In severe cases and if a transurethral catheter alignment is not possible, a suprapubic cystostomy is the treatment of choice. After removal of the catheter, further treatment depends on the extent and location of the urethral stricture.
| Urologic Surgery | Index | Penile fracture |
Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
You did not find what you are looking for?
Search this site with Google:
References
- Machtens u.a. 2000 MACHTENS, S.. ; STIEF, C. G. ; HAGEMANN, J. ; PFINGST, G. ; GäNSSLEN, A. ; POHLEMANN, T. ; TRUSS, M. C. ; KUCZYK, M. A. ; BECKER, A. J. ; JONAS, U.:
- Management traumatischer Läsionen von Harnblase und Urethra.
In: Urologe B
40 (2000), S. 560–571
- Urology
- Basics:
- Anatomy
- Signs and Symptoms
- Examinations
- Surgical Management
- Pharmacology
- Diseases:
- Kidneys
- Ureters
- Bladder
- Prostate
- Urethra
- Penis
- Testes
- Adrenal Glands
- Common Diseases
- Urologic Surgery
- Miscellaneous:
- Index
- Abbreviations
- News
- Book Order
- Recommendations
- Urology Test
- Links
- Disclaimer
- Search
Deutsche Version: Verletzung der vorderen Harnröhre
Last update
Dr. med. Dirk Manski
man...@urologielehrbuch.de