Management of posterior urethral rupture: a personal view

The management of urethral injury continues to be controversial and no one policy has received universal acceptance. This review describes the current three-step approach which we use for the investigation and management of this serious injury. This approach has evolved during the management of a large number of these injuries over the past 22 years. It is relatively simple and can be expected to give a high success and low complication rate. We believe that many of the complications encountered following the management of this injury are avoidable.