As a result of straddle injury, a patient had rupture of bulbar urethra. He presented with urethral bleeding and swelling in the perineum. All of the following are true regarding his management EXCEPT: March 2013
Ans. B i.e. Immediate catheterization Urethra MC cause of urethral stricture: Trauma Pa of urethra injured in pelvic fracture: Membranous urethra Mechanism of urethral injury: Fall astride a projecting object (History of blow to perineum) Triad of ruptured bulbar urethra (Avoid catheterization): - Retention of urine, - Perineal hematoma & - Bleeding from external urinary meatus
Suprapubic cyststomy
Immediate catheterization
Urethrography
Symptomatic & suppoive