Urinary Tract Trauma

Question 1

Epidemiology of Urinary Tract Trauma (2).

Answer 1

1. 85% - pelvic fracture association.

2. Bladder Injuries - Blunt Trauma.

Question 2

Urethral Injury - Bulbar Rupture.

• Cause.
• Clinical Presentation (3).

Answer 2

Cause : Straddle-Type Injuries e.g. Bicycle.

Clinical Presentation : Urinary Retention, Perineal Haematoma, Blood at Meatus.

Question 3

Urethral Injury - Membranous Rupture.

• Cause.
• Clinical Presentation (2).

Answer 3

Cause : Pelvic Fractures.

Clinical Presentation : Upward Displaced Prostate and Penile/Perineal Oedema/Haematoma.

Question 4

Investigation and Management of Urethral Injury.

Answer 4

Investigation : Ascending Urogram.

Management : Suprapubic (Surgical Placement) Catheterisation.

Question 5

Clinical Presentation of Bladder Injury.

Answer 5

Haematuria or Suprapubic Pain.

Question 6

Investigations of Bladder Injury.

Answer 6

IVU or Cystogram.

Inability to retrieve all fluid used to irrigate the bladder through a Foley catheter.

Question 7

Management of Bladder Injury.

Answer 7

Extraperitoneal : Conservative.

Intraperitoneal : Laparotomy.