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Surgery General 18914079

As a result of straddle injury, a patient had rupture of bulbar urethra. He presented with urethral bleeding and swelling in the perineum. All of the following are true regarding his management EXCEPT: March 2013

A
Suprapubic cyststomy
B
Immediate catheterization
C
Urethrography
D
Symptomatic & suppoive
High-Yield Explanation
Ans. B i.e. Immediate catheterization Urethra MC cause of urethral stricture: Trauma Pa of urethra injured in pelvic fracture: Membranous urethra Mechanism of urethral injury: Fall astride a projecting object (History of blow to perineum) Triad of ruptured bulbar urethra (Avoid catheterization): - Retention of urine, - Perineal hematoma & - Bleeding from external urinary meatus

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