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[Injury to the prostatic urethra caused by firearm]
L Ripa Saldias1, C Murillo Pérez, L Sarria Octavio de Toledo
1Servicio de Urología, Hospital Reina Sofía, Tudela, Navarra.
Actas Urologicas Espanolas
|April 1, 1995
Summary
This case report details a rare posterior urethral injury from a firearm. A conservative approach involving suprapubic cystotomy led to a successful recovery.
Area of Science:
- Urology
- Trauma Surgery
- Medical Case Reports
Background:
- Firearm injuries are uncommon causes of posterior urethral trauma.
- Prompt diagnosis and management are crucial for patient outcomes.
Observation:
- A 32-year-old male presented with a posterior urethral injury secondary to a firearm incident.
- Initial assessment revealed a femoral vein fracture; spontaneous micturition was absent post-operatively.
Findings:
- Retrograde urethrography identified a posterior urethral fracture with extraperitoneal pelvic extravasation.
- This case highlights a rare presentation of firearm-related urethral injury.
Implications:
- Conservative management, including suprapubic cystotomy, can be effective for such injuries.
- This case contributes to the limited literature on firearm-induced urethral trauma.
- Reporting successful conservative outcomes may guide future treatment strategies.