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Urethral Trauma
Matthew T. Heller, MD, FSAR; Amir A. Borhani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Stretching or tearing of urethral mucosa
          • Classification Schemes Vary

            • Main point: Determine integrity of urethra
              • If ruptured, determine site (relative to urogenital diaphragm)

          IMAGING

          • General Features

            • Imaging Recommendations

              • CT Findings

                • Fluoroscopic Findings

                  PATHOLOGY

                  • General Features

                    • Staging, Grading, & Classification

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              Selected References

                              1. Lehnert BE et al: Lower male genitourinary trauma: a pictorial review. Emerg Radiol. 21(1):67-74, 2014
                              2. Avery LL et al: Imaging of male pelvic trauma. Radiol Clin North Am. 50(6):1201-17, 2012
                              3. Myers JB et al: Management of posterior urethral disruption injuries. Nat Clin Pract Urol. 6(3):154-63, 2009
                              4. Ramchandani P et al: Imaging of genitourinary trauma. AJR Am J Roentgenol. 192(6):1514-23, 2009
                              5. Ingram MD et al: Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. 28(6):1631-43, 2008
                              6. Kawashima A et al: Imaging of urethral disease: a pictorial review. Radiographics. 24 Suppl 1:S195-216, 2004
                              7. Ali M et al: CT signs of urethral injury. Radiographics. 23(4):951-63; discussion 963-6, 2003
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Pathology

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Definitions

                                        • Stretching or tearing of urethral mucosa
                                      • Classification Schemes Vary

                                        • Main point: Determine integrity of urethra
                                          • If ruptured, determine site (relative to urogenital diaphragm)

                                      IMAGING

                                      • General Features

                                        • Imaging Recommendations

                                          • CT Findings

                                            • Fluoroscopic Findings

                                              PATHOLOGY

                                              • General Features

                                                • Staging, Grading, & Classification

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          Selected References

                                                          1. Lehnert BE et al: Lower male genitourinary trauma: a pictorial review. Emerg Radiol. 21(1):67-74, 2014
                                                          2. Avery LL et al: Imaging of male pelvic trauma. Radiol Clin North Am. 50(6):1201-17, 2012
                                                          3. Myers JB et al: Management of posterior urethral disruption injuries. Nat Clin Pract Urol. 6(3):154-63, 2009
                                                          4. Ramchandani P et al: Imaging of genitourinary trauma. AJR Am J Roentgenol. 192(6):1514-23, 2009
                                                          5. Ingram MD et al: Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. 28(6):1631-43, 2008
                                                          6. Kawashima A et al: Imaging of urethral disease: a pictorial review. Radiographics. 24 Suppl 1:S195-216, 2004
                                                          7. Ali M et al: CT signs of urethral injury. Radiographics. 23(4):951-63; discussion 963-6, 2003