If a patient with a suspected fracture of the pelvis has some bleeding from the urethra and is unable to pass urine
D i.e. He should be prepared for surgery and catheterization attempted in the O.T. Urogenital injuries are common in pelvic fractures (5-10%), especially in men. These injuries should be suspected in conscious patients Who is unable to voidQ or who has gross hematurie - Bloody urethral dischargeQ Swelling or ecchymosis of the penis or perineum - High riding or floating prostate on rectal examination. No attempt should be made to pass a catheter, as this could conve a paial to a complete tear of urethraQ. A retrograde urethrogram should be obtained before attempting to introduce a foley catheter.
He should be encouraged to pass urine after being given antibiotics and analgesics
He should be immediately catheterized in the ward
A hot water bottle should be given followed by injection of carbachol
He should be prepared for surgery and catheterization attempted in the O.T.