 Most of the contemporary literature concerning urethral injury deals with posterior urethral injuries associated with pelvic fractures, which are most commonly due to motor vehicle accidents [4]. In male patients with suspected penetrating trauma of the urethra, the anterior urethra is most often affected. Penetrating injury to the anterior urethra is typically surgically repaired in the acute setting [1,2]. Evaluating the degree of disruption of the anterior urethra is an important factor in operative planning. Penetrating posterior urethral injury is treated with immediate exploration via a retropubic approach and primary repair; if coexisting severe injuries preclude direct urethral repair initially, suprapubic diversion with delayed urethroplasty can be performed [1]. Retrograde urethrography (RUG) has traditionally been the standard diagnostic imaging method for evaluation of urethral trauma endorsed by the EAU and AUA [1-3]. Penetrating trauma of the female urethra is uncommon because of its anatomy and is typically diagnosed with urethroscopy [1]. aUniversity of Pittsburgh, Pittsburgh, Pennsylvania. bPanel Chair, University of Chicago, Chicago, Illinois. cPanel Vice-Chair, Duke University Medical Center, Durham, North Carolina. dMemorial Sloan Kettering Cancer Center, New York, New York. eMayo Clinic, Jacksonville, Florida. fMcGill University, Montreal, Quebec, Canada. gMayo Clinic, Rochester, Minnesota. hUrology Clinics of North Texas, Dallas, Texas; American Urological Association. iMaine Medical Center, Portland, Maine; American College of Emergency Physicians. jUPMC, Pittsburgh, Pennsylvania; American Urological Association. kCleveland Clinic, Cleveland, Ohio. lStanford University Medical Center, Stanford, California. mOttawa Hospital Research Institute and the Department of Radiology, The University of Ottawa, Ottawa, Ontario, Canada. nNational Institutes of Health, Bethesda, Maryland. oThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Penetrating Trauma Lower Abdomen and Pelvis.  Most of the contemporary literature concerning urethral injury deals with posterior urethral injuries associated with pelvic fractures, which are most commonly due to motor vehicle accidents [4]. In male patients with suspected penetrating trauma of the urethra, the anterior urethra is most often affected. Penetrating injury to the anterior urethra is typically surgically repaired in the acute setting [1,2]. Evaluating the degree of disruption of the anterior urethra is an important factor in operative planning. Penetrating posterior urethral injury is treated with immediate exploration via a retropubic approach and primary repair; if coexisting severe injuries preclude direct urethral repair initially, suprapubic diversion with delayed urethroplasty can be performed [1]. Retrograde urethrography (RUG) has traditionally been the standard diagnostic imaging method for evaluation of urethral trauma endorsed by the EAU and AUA [1-3]. Penetrating trauma of the female urethra is uncommon because of its anatomy and is typically diagnosed with urethroscopy [1]. aUniversity of Pittsburgh, Pittsburgh, Pennsylvania. bPanel Chair, University of Chicago, Chicago, Illinois. cPanel Vice-Chair, Duke University Medical Center, Durham, North Carolina. dMemorial Sloan Kettering Cancer Center, New York, New York. eMayo Clinic, Jacksonville, Florida. fMcGill University, Montreal, Quebec, Canada. gMayo Clinic, Rochester, Minnesota. hUrology Clinics of North Texas, Dallas, Texas; American Urological Association. iMaine Medical Center, Portland, Maine; American College of Emergency Physicians. jUPMC, Pittsburgh, Pennsylvania; American Urological Association. kCleveland Clinic, Cleveland, Ohio. lStanford University Medical Center, Stanford, California. mOttawa Hospital Research Institute and the Department of Radiology, The University of Ottawa, Ottawa, Ontario, Canada. nNational Institutes of Health, Bethesda, Maryland. oThe University of Texas MD Anderson Cancer Center, Houston, Texas.