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A 20-yrs-old man suffers an injury to the posterior urethra. After appropriate initial management and follow-up care of this injury, the most likely late complication is:

A
Ascending urinary tract infection
B
Retrograde ejaculation
C
Sterility
D
Urethral stricture
High-Yield Explanation
Initial management involves passage of catheters through the urethral meatus and through an incision in the bladder. After this has been accomplished, a Foley catheter is threaded through the urethra into the bladder and left in situ. Urethral healing occurs as the hematoma resolves, but a posterior urethral stricture is not uncommon. If the stricture is not managed appropriately, ascending urinary tract infection may result.

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