Following urethral rupture, immediate procedure to be done is: September 2008, March 2009
Ans. B: Suprapubic cystostomy Patient should be discouraged from passing urine if urethral rupture is suspected. Drainage of full bladders with paial tears can be managed with a suprapubic catheter. Suprapubic cystostomy has the benefit of avoiding urethral manipulation, which can produce fuher urethral trauma and allows for a simultaneous study to be carried out later. If the bladder is not easily palpable suprapubically, inse the catheter using transabdominal sonography If the patient has passed urine when first seen and there is no extravasation, the rupture, if any, is paial and a catheter is not needed.
Urinary catheterization
Suprapubic cystostomy
Referral to a urologist
Observation