Management of pelvic fracture urethral injury.

ABSTRACT: Pelvic fracture urethral injury (PFUI) represents one of the most challenging entities in reconstructive urology. It predominantly affects the bulbomembranous junction because of its anatomical vulnerability to shearing and compression forces during pelvic trauma. These injuries often result from high-energy accidents, with associated pelvic instability and concomitant injuries, and frequently necessitate a multidisciplinary initial approach. Early management typically involves prompt suprapubic cystostomy (SPC) to divert urine, prevent further contamination, and allow stabilization of the patient. Delayed urethroplasty (DU) remaining the gold standard for definitive repair once the acute phase has resolved. Delayed repair most commonly consists of a perineal bulbomembranous anastomosis (B

SUBMITTER: Joshi PM 

PROVIDER: S-EPMC12603872 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature