eMedicine Specialties > Radiology > Genitourinary

Urethra, Trauma: Follow-up

Author: J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
Coauthor(s): J Scott Schauberger, University of Alabama at Birmingham School of Medicine; Philip Kenney, MD, Professor of Radiology and Chairman, Department of Radiology, University of Arkansas for Medical Sciences
Contributor Information and Disclosures

Updated: Apr 16, 2009

Intervention

Interventional radiology has played only a small role in the treatment of urethral injuries. In a few situations, delayed realignment of the urethra following suprapubic diversion has been accomplished under radiological guidance.28,29

Fluoroscopic guidance for percutaneous suprapubic cystotomy has also been suggested for clinical use when the bladder is distorted by a retroperitoneal hematoma or when the bladder has been displaced superiorly.30

Patient Education:

For excellent patient education resources, visit eMedicine's Men's Health Center. Also, see eMedicine's patient education article Understanding the Male Anatomy.

 


More on Urethra, Trauma

Overview: Urethra, Trauma
Imaging: Urethra, Trauma
Follow-up: Urethra, Trauma
Multimedia: Urethra, Trauma
References
Further Reading

References

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  9. Forman HP, Rosenberg HK, Snyder HM 3rd. Fractured penis: sonographic aid to diagnosis. AJR Am J Roentgenol. Nov 1989;153(5):1009-10. [Medline].

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  11. Hardeman SW, Husmann DA, Chinn HK, Peters PC. Blunt urinary tract trauma: identifying those patients who requireradiological diagnostic studies. J Urol. Jul 1987;138(1):99-101. [Medline].

  12. Ali M, Safriel Y, Sclafani SJ, Schulze R. CT signs of urethral injury. Radiographics. Jul-Aug 2003;23(4):951-63; discussion 963-6. [Medline].

  13. Kane NM, Francis IR, Ellis JH. The value of CT in the detection of bladder and posterior urethralinjuries. AJR Am J Roentgenol. Dec 1989;153(6):1243-6. [Medline].

  14. Obenauer S, Plothe KD, Ringert RH, Heuser M. Imaging of genitourinary trauma. Scand J Urol Nephrol. 2006;40(5):416-22. [Medline].

  15. Dobry E, Danuser H. [Imaging of the kidney and the urinary tract]. Ther Umsch. Jan 2009;66(1):39-42. [Medline].

  16. Dixon CM, Hricak H, McAninch JW. Magnetic resonance imaging of traumatic posterior urethral defects and pelvic crush injuries. J Urol. Oct 1992;148(4):1162-5. [Medline].

  17. Narumi Y, Hricak H, Armenakas NA, et al. MR imaging of traumatic posterior urethral injury. Radiology. Aug 1993;188(2):439-43. [Medline].

  18. Pavlica P, Barozzi L, Menchi I. Imaging of male urethra. Eur Radiol. Jul 2003;13(7):1583-96. [Medline].

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  20. Ingram MD, Watson SG, Skippage PL, Patel U. Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. Oct 2008;28(6):1631-43. [Medline].

  21. Colapinto V, McCallum RW. Injury to the male posterior urethra in fractured pelvis: a new classification. J Urol. Oct 1977;118(4):575-80. [Medline].

  22. Goldman SM, Sandler CM, Corriere JN Jr, McGuire EJ. Blunt urethral trauma: a unified, anatomical mechanical classification. J Urol. Jan 1997;157(1):85-9. [Medline].

  23. Jones JS, Koch MO. Delayed rupture of type I posterior urethral injury: case report. J Urol. May 1993;149(5):1132-4. [Medline].

  24. Koraitim MM, Reda IS. Role of magnetic resonance imaging in assessment of posterior urethral distraction defects. Urology. Sep 2007;70(3):403-6. [Medline].

  25. Fernandez P, Raiffort C, Delaney S, Salomon L, Carbonne B, Delmas V, et al. MRI anatomical study of the outside-in transobturator suburethral tape procedure. Acta Obstet Gynecol Scand. 2008;87(4):457-63. [Medline].

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  27. Bearcroft PW, Berman LH. Sonography in the evaluation of the male anterior urethra. Clin Radiol. Sep 1994;49(9):621-6. [Medline].

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  29. Dalpiaz O, Mitterberger M, Kerschbaumer A, Pinggera GM, Bartsch G, Strasser H. Anatomical approach for surgery of the male posterior urethra. BJU Int. Nov 2008;102(10):1448-51. [Medline].

  30. Kantor A, Sclafani SJ, Scalea T, et al. The role of interventional radiology in the management of genitourinary trauma. Urol Clin North Am. May 1989;16(2):255-65. [Medline].

  31. Corriere JN Jr, Sandler CM. Mechanisms of injury, patterns of extravasation and management of extraperitoneal bladder rupture due to blunt trauma. J Urol. Jan 1988;139(1):43-4. [Medline].

  32. El-Kassaby AW, Osman T, Abdel-Aal A, Sadek M, Nayef N. Dynamic three-dimensional spiral computed tomographic cysto-urethrography: a novel technique for evaluating post-traumatic posterior urethral defects. BJU Int. Dec 2003;92(9):993-6. [Medline].

  33. Godec CJ. Genitourinary trauma. Urol Radiol. 1985;7(4):185-91. [Medline].

  34. Koraitim MM, Marzouk ME, Atta MA, Orabi SS. Risk factors and mechanism of urethral injury in pelvic fractures. Br J Urol. Jun 1996;77(6):876-80. [Medline].

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Keywords

urethral trauma, anterior urethral trauma, posterior urethral trauma, urethral injury, blunt trauma, straddle injury, pelvic fracture, urethral stricture, perineal injury, lower urinary tract, pelvic crush

Contributor Information and Disclosures

Author

J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
J Kevin Smith, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, International Society for Magnetic Resonance in Medicine, Radiological Society of North America, and Society of Radiologists in Ultrasound
Disclosure: Nothing to disclose.

Coauthor(s)

J Scott Schauberger, University of Alabama at Birmingham School of Medicine
Disclosure: Nothing to disclose.

Philip Kenney, MD, Professor of Radiology and Chairman, Department of Radiology, University of Arkansas for Medical Sciences
Philip Kenney, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society of Uroradiology
Disclosure: Nothing to disclose.

Medical Editor

John L Haddad, MD, Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston
John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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