Management of non-penetrating distal urethral trauma

Two cases of non-penetrating distal urethral trauma are reported to illustrate the potential routes of urinary extravasation. The nature and management of such injuries are discussed to emphasize that the typically incomplete rupture of the distal urethra responds satisfactorily to catheter diversion of the urinary stream, antibiotic coverage, drainage of extravasated urine and delayed debridement of necrotic tissue. Primary surgical repair of the urethra is rarely indicated in this injury.