Urethral transection
Diagnosis certain
Updates to Case Attributes
Title
was changed:
Urethral transection (traumatic)
Status
changed from draft to published (public).
Published At
was set to
.
Body
was changed:
Urethral transection is a complication of injuries to the pelvis, including pelvic fractures, straddle injuries, or, in this case, a shotgun wound.
If this patient had shown up in the emergency department, it is clear that trying to immediately place a Foley catheter before attempting a RUG would have had the disasterous consequence of creating a false channel with the catheter and causing even more damage that was already there.
The most common site of traumatic injury of the posterior urethra is at the bulbomembranous junction, where a shear force can occur in a pelvic fracture between the more mobile bulbar urethra and the more rigid membranous urethra. In the case of a gunshot wound, however... the injury can be anywhere.
-<p><a title="Urethral injury" href="/articles/urethral-injuries"><strong>Urethral transection</strong></a> is a complication of injuries to the pelvis, including pelvic fractures, straddle injuries, or, in this case, a shotgun wound.</p><p>If this patient had shown up in the emergency department, it is clear that trying to immediately place a Foley catheter before attempting a RUG would have had the disasterous consequence of creating a false channel with the catheter and causing even more damage that was already there.</p><p>The most common site of traumatic injury of the <a title="Male urethra anatomy" href="/articles/male-urethra">posterior urethra</a> is at the bulbomembranous junction, where a shear force can occur in a pelvic fracture between the more mobile bulbar urethra and the more rigid membranous urethra. In the case of a gunshot wound, however... the injury can be anywhere.</p>- +<p><a href="/articles/urethral-injuries"><strong>Urethral transection</strong></a> is a complication of injuries to the pelvis, including pelvic fractures, straddle injuries, or, in this case, a shotgun wound.</p><p>If this patient had shown up in the emergency department, it is clear that trying to immediately place a Foley catheter before attempting a RUG would have had the disasterous consequence of creating a false channel with the catheter and causing even more damage that was already there.</p><p>The most common site of traumatic injury of the <a href="/articles/male-urethra">posterior urethra</a> is at the bulbomembranous junction, where a shear force can occur in a pelvic fracture between the more mobile bulbar urethra and the more rigid membranous urethra. In the case of a gunshot wound, however... the injury can be anywhere.</p>
Updates to Study Attributes
Images Changes:
Image Fluoroscopy (VCUG) ( update )
Stack
was set to
.
Single Or Stack Root
was set to
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Image Fluoroscopy (VCUG) ( update )
Stack
was set to
.
Single Or Stack Root
was set to
.