Traumatic urethral injury on retrograde urethrogram
MVA multi-trauma with multiple pelvic fractures, blood at the penile meatus.
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Retrograde urethrogram showing rupture of the proximal urethra with extravsation of contrast into the right pelvic space. Performed after extra peritoneal packing.
Urethral injury classically presents with blood at the meatus, perineal bruising, hematuria or acute urinary retention. Pelvic fractures resulting from high impact trauma may be associated with urethral injury. If urethral injury is suspected a retrograde urethrogram should be performed prior to catheterization.