Genitourinary - Infections of the Urethra, Testicle, and Scrotum
1. Who does urethral trauma occur MC in?: MC in men because longer urethra
2. What type of trauma usually causes urethral trauma?: Blunt trauma > Penetrating trauma
3. What is a major cause of urethral trauma?: - pelvic trauma and straddle falls
4. What are less common causes of urethral trauma?: - object insertion
- penile fractures
- psychiatric illness with self-inflicted trauma
5. What is the most important finding for urethral trauma?: - blood at urethral meatus
6. What are some symptoms of urethral trauma?: - pain with voiding or inability to void
- bruising and swelling in penis
7. How is urethral trauma diagnosed?: - retrograde urethrography
8. How are urethral contusions treated?: - indwelling transurethral catheter for 5-7 days
- allows surgery to be delayed for 8-12 weeks for urethral scar tissue to stablize
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,9. How are urethral disruptions/tears treated?: - bladder drainage via suprapubic cystostomy
(catheter)
- also known as suprapubic catheter
- allows surgery to be delayed for 8-12 weeks for urethral scar tissue to stabilize
10. What are urethral contusions vs. disruptions/tears?: Contusions
- retrograde urethrogram had no extravasation of contrast
OR
- pt is able to void
Disruptions/tears
- there is extravasation of contrast with a retrograde urethrogram
11. When is immediate open surgery (urethroplasty) indicated in urethral trau-
ma?: - for tears associated with penile fractures and penetrating injuries
12. What are complications of urethral trauma?: - infection
- incontinence
- erectile dysfunction
- stricture
2/9
, 13. What are the two types of urethral stricture?: Congenital
Acquireed from:
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1. Who does urethral trauma occur MC in?: MC in men because longer urethra
2. What type of trauma usually causes urethral trauma?: Blunt trauma > Penetrating trauma
3. What is a major cause of urethral trauma?: - pelvic trauma and straddle falls
4. What are less common causes of urethral trauma?: - object insertion
- penile fractures
- psychiatric illness with self-inflicted trauma
5. What is the most important finding for urethral trauma?: - blood at urethral meatus
6. What are some symptoms of urethral trauma?: - pain with voiding or inability to void
- bruising and swelling in penis
7. How is urethral trauma diagnosed?: - retrograde urethrography
8. How are urethral contusions treated?: - indwelling transurethral catheter for 5-7 days
- allows surgery to be delayed for 8-12 weeks for urethral scar tissue to stablize
1/9
,9. How are urethral disruptions/tears treated?: - bladder drainage via suprapubic cystostomy
(catheter)
- also known as suprapubic catheter
- allows surgery to be delayed for 8-12 weeks for urethral scar tissue to stabilize
10. What are urethral contusions vs. disruptions/tears?: Contusions
- retrograde urethrogram had no extravasation of contrast
OR
- pt is able to void
Disruptions/tears
- there is extravasation of contrast with a retrograde urethrogram
11. When is immediate open surgery (urethroplasty) indicated in urethral trau-
ma?: - for tears associated with penile fractures and penetrating injuries
12. What are complications of urethral trauma?: - infection
- incontinence
- erectile dysfunction
- stricture
2/9
, 13. What are the two types of urethral stricture?: Congenital
Acquireed from:
3/9
