RUGs did not appear to be needed in patients with no disruption of the pubic symphysis on initial pelvis X-ray or where no signs of urethral injury are present. [ncbi.nlm.nih.gov]

The patient was noted to be a good historian at the time of presentation, with no evidence of delirium on physical examination and no history of obstructive urinary symptoms or urinary retention. [jamanetwork.com]

• Inflammation

  Abdominal US can diagnose a variety of abnormalities, including bladder stone or inflammation, ureterocele, foreign body, or tumor. [pedsinreview.aappublications.org]

  1 Pain at the onset of urination is usually caused by urethral inflammation, but suprapubic pain after voiding is more suggestive of bladder inflammation or infection. [aafp.org]

  Urine leaking inside the body can cause: Swelling Inflammation Infection Scarring The treatment of a posterior urethral injury is very complicated. This is because it's almost always seen with other severe injuries. [urologyhealth.org]

  Complications of Urethral Strictures Complications of stricture disease are: urethral discharge urinary tract infection cystitis (inflammation of the bladder) chronic prostatitis (inflammation of the prostate gland) or epididymitis (inflammation of the [urology.wustl.edu]

• Ecchymosis

  Scrotal and perineal ecchymosis and swelling, blood at the urethral meatus, and bladder distension up to the umbilicus are present. AP radiographs of the pelvis reveal pelvic fracture (bilateral pubic rami fracture). [medbullets.com]

  Examination may reveal blood on digital rectal exam and perineal ecchymosis. Dysuria, urinary urgency and suprapubic discomfort can ensue in the chronic stages of incomplete urethral injury due to complicating strictures. [radiopaedia.org]

  – PENILE OR PERINEAL ECCHYMOSIS – FOREIGN BODY IN URETHRA MAY BE FOUND 14. EXAMINATION – URETHRAL BLEEDING 15. EXAMINATION – PENILE FRACTURE 16. [slideshare.net]

  A palpably distended bladder or inability to void, perineal bruising, and perineal ecchymosis are all suggestive of urethral disruption. Digital rectal exam may disclose an elevated or displaced prostate gland ("High riding prostate"). [medicowesome.com]

  It is caused by a straddle injury (e. g., a boy slips off a bicycle seat and falls against the crossbar) and is the most common type of urine leakage injury Clinical findings include blood at the urethral meatus, ecchymosis, painful swelling of the scrotal [aibolita.com]

• Military Personnel

  Wilcox SL, Redmond S, Hassan AM: Sexual functioning in military personnel: Preliminary estimates and predictors. J Sex Med 2014; 11 : 2537. Frappell-Cooke W, Wink P, Wood A: The psychological challenge of genital injury. [auanet.org]

• Tall Stature

  […] addictive disorders Sudden infant death syndrome Suicidality Supraventricular premature beats Sympathomimetic drugs Syncope Syndrome of inappropriate antidiuretic hormone secretion Syphilis Syringomyelia Systemic lupus erythematosus Systemic sclerosis Tall [amboss.com]

• Aspiration

  (d) Photomicrograph (original magnification, ×600; Papanicolaou stain) of the specimen from CT-guided fine-needle aspiration biopsy of the periureteral soft-tissue abnormality shows crowded sheets of malignant epithelial cells with abundant cytoplasm, [pubs.rsna.org]

  […] fracture Fever and inflammation Fibromuscular dysplasia Fibromyalgia Fifth disease Finger infections Finger injuries Focal seizures and syndromes Folate deficiency Food allergies Food poisoning Foot deformities Forearm, wrist, and hand Foreign body aspiration [amboss.com]

  Healy MW, Yauger BJ, James AN et al: Seminal vesicle sperm aspiration from wounded warriors. Fertil Steril 2016; 106 : 579. Sharma DM: The management of genitourinary war injuries: A multidisciplinary consensus. J R Army Med Corps 2013; 159 : 57. [auanet.org]

  Three were diagnosed by aspiration of urine ascites. All had cupola lacerations. Thirty six bladder injuries were intraperitoneal and 8 extraperitoneal. Serum urea and creatinine were not diagnostic. [east.org]

• Cough

  28: Weight gain Case 29: Fatigue Case 3: Abdominal pain Case 30: Sore throat Case 31: Cough Case 32: Genital lesion Case 33: Headache Case 34: Vision loss Case 35: Heartburn Case 36: Fatigue Case 37: Skin changes Case 38: Ankle pain Case 39: Shoulder [amboss.com]

  Artificial Urinary Sphincters (AUS): used to treat stress incontinence, where significant urinary leakage occurs during exercise, coughing, sneezing, laughing, lifting heavy objects, or other body movements. [beaumont.org]

  Your recognised location is United States (US) More: Guidance Chronic cough in a child Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

• Severe Abdominal Pain

  Call your provider if symptoms get worse or new symptoms develop, including: Decrease in urine production Fever Blood in urine Severe abdominal pain Severe flank or back pain Shock or hemorrhage Prevent outside injury to the bladder and urethra by following [medlineplus.gov]

• Contusion

  The utility of SUG for early diagnosis of urethral contusion is analysed, and a novel technique for performing SUG is described. [ncbi.nlm.nih.gov]

  Back to Top Table 4 Lung Injury Scale Grade* Injury Type Description of Injury ICD-9 AIS-90 I Contusion Unilateral, 861.12 3 861.31 II Contusion Unilateral, single lobe 861.20 3 861.30 Laceration Simple pneumothorax 860.0/1 3 III Contusion Unilateral, [aast.org]

  Evaluate urethra before Foley placement as necessary CT Findings of Bladder Injury on Cystogram  Contusion - focal thickening, variable attenuation  Rupture - extravasation 1. [learningradiology.com]

  Answer and interpretation Urethral injuries are graded on a I to V scale and include contusion, stretch, and partial or complete disruption. [lifeinthefastlane.com]

  Urethral injuries are classified as contusions, partial disruptions, or complete disruptions, and they may involve the posterior or anterior urethral segments. Posterior urethral injuries occur almost exclusively with pelvic fractures. [merckmanuals.com]

• Meningism

  […] tissue Myasthenia gravis Mycosis fungoides Myelodysplastic syndromes Myeloproliferative neoplasms Myocarditis Myotonic syndromes Narcolepsy Nasal papilloma Necrotizing enterocolitis Neonatal jaundice Neonatal respiratory distress syndrome Neoplastic meningitis [amboss.com]

• Hematuria

  Incidence and magnitude of catheter-induced hematuria. Am J Emerg Med 1986;4:14–16. [lifeinthefastlane.com]

  Males: Blood at the urethral meatus Gross hematuria Females: Blood in the vaginal vault Gross hematuria Exam of the torso and pelvis dur... [5minuteconsult.com]

  The latter 14 were divided into two groups 5 cases with macroscopic hematuria and 7 with microscopic hematuria with 2 cases which had no hematuria. [east.org]

  […] of injury due to shearing force on fixed membranous and mobile prostatic urethra anterior: straddle injury causing crush injury to bulbar urethra against pubic rami iatrogenic: instrumentation, penile fracture Presentation History mechanism of injury hematuria [medbullets.com]

  The primary objective is to evaluate urethral microtrauma for three hydrophilic catheters with regards to hematuria after intermittent catheterization. [clinicaltrials.gov]

• Dysuria

  Children who have urethritis may present with irritative voiding symptoms, such as dysuria, urgency, or frequency; possible urethral discharge; initial hematuria; or blood spotting on the underwear. [pedsinreview.aappublications.org]

  […] on fixed membranous and mobile prostatic urethra anterior: straddle injury causing crush injury to bulbar urethra against pubic rami iatrogenic: instrumentation, penile fracture Presentation History mechanism of injury hematuria, blood on underwear dysuria [medbullets.com]

  Dysuria, urinary urgency and suprapubic discomfort can ensue in the chronic stages of incomplete urethral injury due to complicating strictures. [radiopaedia.org]

  Dysuria, hematuria, and inability to void are all strongly suggestive of urethral injury. [medicowesome.com]

• Urethral Discharge

  For instance, the doctor will be able to readily observe redness (or urethral discharge) and find out if one or more areas are hard or swollen. [healthline.com]

  Children who have urethritis may present with irritative voiding symptoms, such as dysuria, urgency, or frequency; possible urethral discharge; initial hematuria; or blood spotting on the underwear. [pedsinreview.aappublications.org]

  Urethral discharge is highly associated with urethritis. 19 In men, urethral discharge and dysuria are the most common symptoms of sexually transmitted urethritis. [aafp.org]

  discharge culture (Medical Encyclopedia) Urethral stricture (Medical Encyclopedia) Urethritis (Medical Encyclopedia) Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases) [ Read More ] Wounds and Injuries Also called [icdlist.com]

  Complications of Urethral Strictures Complications of stricture disease are: urethral discharge urinary tract infection cystitis (inflammation of the bladder) chronic prostatitis (inflammation of the prostate gland) or epididymitis (inflammation of the [urology.wustl.edu]

• Urethral Bleeding

  Even urethral bleeding may take >1 h to become apparent. [onlinelibrary.wiley.com]

  EXAMINATION – URETHRAL BLEEDING 15. EXAMINATION – PENILE FRACTURE 16. [slideshare.net]

  Many urethral tears can be managed with insertion of a suprapubic catheter and delayed surgical repair or plasty, provided that bleeding can be controlled. [medical-dictionary.thefreedictionary.com]

  bleeding, prostate displacement, rectal injury (lower GU injury). [east.org]

• Macroscopic Hematuria

  Retrograde cystogram was performed whether microscopic or macroscopic hematuria was present. [east.org]

Peterson NE III Retrospective review of 157 penetrating; 225 blunt pts Workup consisted of IVP, retrograde cysto- urethrography; occasional arteriography and CT. [east.org]

Figure 20b Conclusion CT urography has become widely accepted as the new first-line imaging modality in the workup of hematuria in adult patients and in the initial staging and surveillance of UCC. [pubs.rsna.org]

Such conditions have been found to significantly deteriorate quality of life and complicate subsequent treatments. Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. [ncbi.nlm.nih.gov]

The treatment for anterior injuries was conservative in 193 patients and surgical in 62. [onlinelibrary.wiley.com]

Meanwhile, the controversy surrounding immediate vs delayed treatment of urethral injuries is still unresolved. [kelmacmedical.us]

PROGNOSIS • WITH PROPER MGT PROGNOSIS IS EXCELLENT6 • UNRECOGNIZED URETHRAL INJURY HOWEVER LEADS TO HIGHER INCIDENCE OF COMPLICATIONS 29. FUTURE TRENDS • USE OF MAGNETIC CATHETERS FOR EARLY REALIGNMENT OF THE URETHRA 30. [slideshare.net]

Treatment and prognosis Treatment consists from urinary diversion (e.g. suprapubic catheter ) to primary or delayed urethral anastomosis depending on the severity (i.e. tear vs. complete rupture) of the injury. [radiopaedia.org]

Prognosis : guarded. Pathogenesis Etiology RTA/HBC with pelvic fracture (usually rupture at pelvic or penile site). Urethral obstruction (usually perineal site). Iatrogenic injury through catheterization (usually perineal site). Bites. [vetstream.com]

Result:- Most common etiology of urethral injury and stricture urethra was trauma with membranous urethra being the most common site. [webmedcentral.com]

Etiology As with many traumatic events, the etiology of a urethral injury can be classified as blunt or penetrating. [emedicine.medscape.com]

Introduction Genitourinary trauma involves kidney, bladder, and/or urethra 80% is from blunt trauma (MVCs, assaults, falls, crush) vs 20% penetrating (GSW/SW) Blunt trauma to genitourinary organs is associated with pelvic fracture in 97% cases Urethral injury etiology [medbullets.com]

Etiology Most common causes of ureteric injuries are traumatic, with non-traumatic cases being much less frequent. [radiopaedia.org]

Relevant pathophysiological background and epidemiology are reviewed, necessary diagnostic testing recommended, and detailed medical, surgical and endourological management approaches have been provided. [books.google.ro]

INTRODUCTION • EPIDEMIOLOGY – IT IS THE COMMONEST CAUSE OF URETHRAL STRICTURE IN NIGERIA1,2 – MAKES UP MAJORITY OF GU INJURIES4,5 – 10% OF PELVIC FRACTURES ASSOC WITH URETHRAL INJURY6 5. RELEVANT ANATOMY 6. [slideshare.net]

WB Saunders, Philadelphia Google Scholar Paparel P, N’Diaye A, Laumon B et al (2006) The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43,000 victims. [link.springer.com]

Iatrogenic urethral injuries also occur after radical prostatectomy, pelvic radiotherapy, and other abdominopelvic surgery. [6] Epidemiology Posterior urethral injuries are most commonly associated with pelvic fracture, with an incidence of 5%-10%. [emedicine.medscape.com]

Subsequent chapters focus on specific injury patterns, emphasizing pathophysiology, diagnosis, evaluation, and management. The information is presented in bullet points with numerous tables and images. [books.google.de]

The text is organized by pathophysiology rather than organ system, allowing the reader to develop approaches to the care of patients with acute urological conditions based on mechanism of disease. [books.google.ro]

Pathophysiology Urine leaks into periurethral tissue/abdomen causing cellulitis/peritonitis Peritonitis. Often leukocytosis. Dehydration, hypoproteinemia Hypoproteinemia, hypoglycemia Hypoglycemia. Azotemia Azotemia in some cases. [vetstream.com]

Pathophysiology Injury to the posterior urethra occurs when a shearing force is applied at the prostatomembranous junction in blunt pelvic trauma. The prostatic urethra is fixed in position because of the attachments of the puboprostatic ligaments. [emedicine.medscape.com]

Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. [ncbi.nlm.nih.gov]

This will prevent urine from building up in the bladder. It will also allow the injured bladder or urethra to heal and prevent swelling in the urethra from blocking urine flow. [medlineplus.gov]

New or significantly revised chapters in each of the subsections address innovations in trauma care and prevention, new strategies in management of kidney stones, and special care needs of children with acute urological problems. [books.google.ro]

ANA CAUTI Prevention Tool. [Available at] 10. Fink R, Gilmartin H, Richard A, Capezuti E, Boltz M, Wald H. [psnet.ahrq.gov]