Pelvic Trauma

Question 1

What is the cause of most bladder injuries and which fractures are they commonly associated with?

Answer 1

1. Blunt trauma

2. Pelvic fractures

Question 2

What is this a presentation of?

Leg length discrepancy, abdominal distension, loin bruising, perineal or scrotal haematoma, PV bleeding.

Answer 2

Pelvic fracture

Question 3

What is this a presentation of?

Straddle injury on a bicycle, urinary retention, perineal haematoma, blood at the meatus.

Answer 3

Bulbar urethral rupture

Question 4

What is this a presentation of?

Penile or perineal oedema/haematoma, high-riding prostate, pelvic fracture.

Answer 4

Membranous urethral rupture

Question 5

How is a urethral injury investigated?

Answer 5

Ascending/retrograde urethrogram

Question 6

What is the management for urethral injury?

Answer 6

Surgical placement of a suprapubic catheter

Question 7

What is this a presentation of?
Haematuria/suprapubic pain, pelvic fracture, unable to void, cannot retrieve fluid used to irrigate bladder in Foley catheter.

Answer 7

Bladder injury

Question 8

How is a bladder injury investigated and managed?

Answer 8

1. IV urethrogram or cystogram

2. Laparotomy