Ces Urol 2024, 28(1):13-21 | DOI: 10.48095/cccu2024004

Urethral injury

Kamil Belej^{1, 2}, Darina Pacigová¹, Miroslav Záleský¹, František Chmelík¹, Pavel Drlík¹

¹ Urologická klinika 1. LF UK a ÚVN, Ústřední vojenská nemocnice - Vojenská fakultní nemocnice Praha

² Urológia, Nemocnica Bory - Penta Hospitals, Bratislava

Belej K, Pacigova D, Zalesky M, Chmelik F, Drlik P. Urethral injury. This article summarizes the recent knowledge on the etiology, diagnosis, therapy and complications of urethral injuries. There is much higher overall incidence in males than in females and the most common cause is urethral catheterization and endoscopic examination and procedures. Basic evaluation comprises patient´s history, clinical and radiological examination with endoscopy in selected cases. There is a wide scale of treatment options from clinical follow-up, through simple insertion of drainage (catheter, epicystostomy) up to complicated surgical reconstructions. Proper primary managment and further steps are crucial for the final results and consequences for the patient. Due to tiny structure and short course of the female urethra it is focused on male patients, but important comments about differences in the diagnosis and therapy between the genders are mentioned.

Keywords: Urethral trauma, urethrography, reconstruction, complications.

Received: December 14, 2023; Accepted: January 9, 2024; Prepublished online: January 9, 2024; Published: May 2, 2024