Beruflich Dokumente
Kultur Dokumente
M.NANDA SATYA.P
ANATOMY
ANTERIOR URETHRA
Anterior urethral injuries in children are usually iatrogenic, due to urethral instrumentation, circumcision, or injury
occurring during the repair of a congenital anorectal malformation.
PATHOGENESIS & PATHOLOGY
B. LACERATION
A. CONTUSION
A severe straddle injury may result in
• Contusion of the urethra is
laceration of part of
a sign of crush injury
the urethral wall extravasation of
without urethral
urine extravasation is
disruption. Perineal unrecognized extend into the
hematoma usually scrotum along the penile shaft and up
resolves without to the abdominal wall.
• History
• Physical examination
• Urethrography (retrograde)
• Urethrocystography
Urethrography (retrograde)
• A urethrogram, with instillation
of 15–20 mL of water-soluble
contrast material, demonstrates
extravasation and the location of
injury (Figure 17–18).
4. Immediate repair
LATE
• Infection
• Stricture is a common sequel in partial or
• complete tear, periurethral bruising