A distinction is made between Urethralverletzungen contusions and partial or Totalrupturen that can occur in both posterior and anterior. Posterior Urethralverletzungen occur almost exclusively in pelvic fractures. Anterior Urethralverletzungen are usually the result of a perineal caused by strong spreading injury from a fall, a perineal shock or by a motor vehicle accident.

From an injury to the urethra men are mainly affected. Most injuries to the urethra are blunt. Penetrating Urethraltraumen are unusual. In the main, gunshot wounds are the cause. but they can also be caused by the insertion of objects into the urethra during sexual activity or psychiatric conditions. A distinction is made between Urethralverletzungen contusions and partial or Totalrupturen that can occur in both posterior and anterior. Posterior Urethralverletzungen occur almost exclusively in pelvic fractures. Anterior Urethralverletzungen are usually the result of a perineal caused by strong spreading injury from a fall, a perineal shock or by a motor vehicle accident. Complications include infection, incontinence, erectile dysfunction and strictures. Symptoms and signs Symptoms include painful urination or urinary symptoms. Blood leakage from the meatus is the main symptom of Urethralverletzung. Other characters are perineal, scrotal, penile and labial ecchymosis, edema, or both. Abnormal position of the prostate (so-called. Upstanding prostate) on rectal examination is an inaccurate indication of a urethral injury. Blood in digital, rectal or vaginal examination requires a thorough investigation. Diagnosis Retrograde Urethrography Each male patients with suspicious symptoms or signs, the diagnosis by the retrograde Urethrography is confirmed. This process should always take place before catheterization. Harnröhrenkatheterisierung in a man with an unrecognized significant Urethralverletzung can lead to Harnröhrenruptur (z. B. the development of a partial to a complete rupture). Female patients need immediate cystoscopy and a careful vaginal examination. Tips and risks if a urethral injury is suspected, do not introduce urethral catheter until after the Urethrography. Normally treatment catheterization (in Konzusionen) of the urethra or suprapubic cystostomy Treatment sometimes consists of endoscopic orientation or surgical ligation (at selected injuries). Delayed definitive surgery contusions can be easily treated by a 7-day indwelling. The partial rupture is treated by means of bladder drainage suprapubic cystostomy. In certain cases of posterior partial interference, a primary endoscopic realignment of the urethra may be attempted. If it is successful, this may limit subsequent urethral strictures. The Totalruptur is usually treated by a bladder drainage means suprapubic cystostomy. This is the easiest way to be considered in all patients. The final surgery is postponed 8-12 weeks until the urethral scar tissue stabilized and the patient has recovered from the accompanying injuries. Open repair of urethral injury is limited to those associated with penile fractures, penetrating certain cuts and injuries to women in connection. Important Points Tighten have urethral injuries into consideration, especially in patients with pelvic fractures or “straddle injuries” and among those who Miktionsschwierigkeiten or blood at the urethral opening. Run in men by a retrograde Urethrography before setting a urethral catheter. In women, cystoscopy and vaginal examination should be performed. You treat contusions with urethral catheter and complete and partial ruptures many first with suprapubic cystostomy. The surgical reconstruction should be delayed except for certain injuries (d. H. Penile fracture, certain penetrating injuries and female urethra injuries).

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