Urology · NEET PG Preparation Surgery
A 32-year-old male is brought to the emergency department following a motor vehicle collision. He presents with pelvic fractures, blood at the extern…
Practice question from Urology (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
easy · MCQ · Q-AA51D2
A 32-year-old male is brought to the emergency department following a motor vehicle collision. He presents with pelvic fractures, blood at the external urethral meatus, inability to void, and a high-riding prostate on digital rectal examination. Which of the following is the most appropriate initial management step?
- A.Attempt immediate passage of a Foley transurethral catheter
- B.Perform a retrograde urethrography (RUG) prior to any instrumentationCorrect answer
- C.Perform immediate primary realignment via open surgery
- D.Perform an emergency scrotal exploration
Solution
Signs of posterior urethral injury include blood at the meatus, inability to void, and a high-riding prostate in the setting of pelvic trauma. Blind insertion of a transurethral catheter is contraindicated as it can convert a partial tear into a complete rupture and introduce infection. Retrograde urethrography (RUG) is the gold standard diagnostic test before placing any catheter; if disrupted, a suprapubic catheter should be placed.
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