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Simultaneous bladder and prostatomembranous urethral rupture from external trauma.

A S Cass, P Gleich, C Smith

    The Journal of Urology
    |November 1, 1984
    PubMed
    Summary

    Traumatic posterior urethral rupture in males can occur with bladder rupture. In patients with pelvic fractures and urethral injury, suspect and explore for simultaneous bladder rupture.

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    Area of Science:

    • Urology
    • Trauma Surgery
    • Emergency Medicine

    Background:

    • Simultaneous bladder and posterior urethral ruptures occur in 10-29% of male patients with posterior urethral trauma.
    • External trauma is a common cause of these combined injuries.

    Observation:

    • The study evaluated 47 male patients with traumatic posterior urethral rupture.
    • Eight patients (17%) presented with simultaneous bladder and posterior urethral ruptures.
    • All 8 patients had a fractured pelvis and an average of 3.1 associated injuries.

    Findings:

    • Of the 8 patients with combined ruptures, 4 had extraperitoneal bladder ruptures, 3 intraperitoneal, and 1 had both.
    • Posterior urethral ruptures were 5 complete and 3 partial.
    • Preoperative diagnosis of both ruptures was made in only 1 patient.

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    Implications:

    • In male patients with pelvic fractures and posterior urethral rupture, concomitant bladder rupture should be strongly suspected.
    • Surgical exploration is crucial for diagnosing and managing these complex injuries.
    • Early recognition and management can improve patient outcomes in trauma cases.