Initial management of anterior and posterior urethral injuries

Urol Clin North Am. 2006 Feb;33(1):87-95, vii. doi: 10.1016/j.ucl.2005.10.001.


The key to the initial management of a urethral injury is prompt diagnosis, accurate staging of the injury, and properly selecting an intervention that minimizes the overall chances for the debilitating complications of incontinence, impotence, and urethral stricture. Although somewhat controversial, blunt traumatic posterior injuries generally are managed best by primary realignment (when feasible), straddle injuries of the bulbar urethra by suprapubic urinary diversion, and penetrating urethral injuries by primary repair and urinary diversion.

Publication types

  • Review

MeSH terms

  • Humans
  • Treatment Outcome
  • Urethra / injuries*
  • Urethral Diseases / classification
  • Urethral Diseases / surgery*
  • Urologic Surgical Procedures / methods*
  • Wounds, Nonpenetrating / classification
  • Wounds, Nonpenetrating / surgery*
  • Wounds, Penetrating / classification
  • Wounds, Penetrating / surgery*