Pelvic fracture injuries of the posterior urethra

Abstract

Posterior urethral injuries are not common and take a low priority in the management of patients with pelvic fracture injuries as these individuals almost always have multiple injuries of more serious consequence. Most patients are best treated by a suprapubic catheter for 3 months and then an end-to-end anastomotic urethroplasty in those who have developed urethral occlusions. There are roles for delayed primary repair and for endourological management in selected patients, but their exact roles have yet to be defined.