临床见习课程：Urethral Trauma.pptVIP

* important anatomical features: - urogenial diaphragm attaches to bones of pelvis - prostate attaches to symphysis pubis by puboprostatic ligaments. Important to differentiate anterior VS posterior because injuries are caused by different mechanisms, involve different symptoms and are treated differently. * important anatomical features: - urogenial diaphragm attaches to bones of pelvis - prostate attaches to symphysis pubis by puboprostatic ligaments. Important to differentiate anterior VS posterior because injuries are caused by different mechanisms, involve different symptoms and are treated differently. * Male urethra divided into four segments: Protatic urethra urogenital diaphragm: Membranous urethra Bulbous urethra Pendulous urethra * Male urethra divided into four segments: Protatic urethra urogenital diaphragm: Membranous urethra Bulbous urethra Pendulous urethra * inability to void…actually you tell them not to do so ! Physical findings can be minimal because the bladder neck remains competent. …=urethral injury until proven otherwise : NO FOLEY * inability to void…actually you tell them not to do so ! Physical findings can be minimal because the bladder neck remains competent. …=urethral injury until proven otherwise : NO FOLEY * This is our hospital building and you are welcome. Urethral Trauma An otherwise healthy 24yo male was admitted because of Urethral Trauma 1 months ago. Case #3 (10-5-11) One months ago, the patient got a episode of straddle injury. Soon voiding difficulty and haematuria developed. “Urethral Rupture ” was considered in local hospital, and urinary catheterization was done successfully. Case #3 (10-5-11) Case #3 (10-5-11) Day 21: removing of urinary catheter could not void re-cathetering failed, cystostomy referred to our department On Admission PE: vital sign stable, With cystostomy , no other abnormality Lab Data: CBC, Liver Panel all within normal range Question Which of the followi