A 25-year-old male presents to emergency dept. following a road traffic accident. On examination, there is pelvic fracture and blood at urethral meatus.Following are true about pt except -
The pa of urethra most likely injured in the pelvic fracture is membranous urethra (a pa of post. urethra) Post. Urethra includes -- Prostatic + membranous urethra Anterior urethra includes -- Bulbar + penile urethra The anterior urethra (paicularly bulbar urethra) is injured due to a direct blow to the perineum (straddle injuries*) About other options - (d) The prostate is displaced superiorly (high lying prostate) in membranous urethral injury due to rupture of puboprostatic fascia. A pelvic hematoma is seen in membranous urethral injuries (Perineal hematoma is seen in bulbar urethral injury) (b) Once a urethral injury is suspected the pt. is instructed not to pass urine and a RGU or ascending urethrogram is performed to assess the injury. (c) Catheterization is contraindicated and is passed only if the RGU is normal. Ref : Bailey and Love 25/e p1363