A urethral stricture may be Present from birth Develop after an infection or injury A urethral stricture most commonly results from Men may also experience impairment in the ability to have an erection erectile dysfunction Erectile Dysfunction ED Erectile dysfunction ED is the inability to attain or sustain an erection satisfactory for sexual intercourse.
In men, the diagnosis of a urethral injury is usually confirmed by retrograde urethrography, an x-ray taken after a radiopaque contrast agent, a liquid that is visible on x-rays, is put directly into the end of the urethra. Retrograde urethrography is done before a catheter is passed through the urethra into the bladder.
In women, a flexible endoscope is used to examine the lining of the bladder and the urethra cystoscopy Cystoscopy A doctor can diagnose some disorders of the bladder and urethra for example, bladder tumors, stones in the bladder, benign prostatic enlargement by looking through a flexible viewing tube For urethral bruises that do not result in any leakage of urine, a doctor can place a catheter through the urethra into the bladder for several days to drain the urine while the urethra heals.
For urethral tears, the urine should be diverted from the urethra using a catheter placed directly into the bladder through the skin over the lower abdomen. The urethra is repaired surgically after all other injuries have healed or after 8 to 12 weeks when inflammation has resolved.
Rarely, urethral tears heal without surgery. Treatment helps to prevent some complications of urethral injuries. Complications that cannot be prevented are treated accordingly. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
Ureteral injuries: Injury to the ureters tubes leads to several complications such as formation of fistula abnormal connection to another structure , urinary leakage, and narrowing of ureter tubes. Commonly observed symptoms include pain in the abdomen, leakage of urine, infection, and blood in urine. Minor ureteral injuries can be treated by placing a flexible tube in the ureter through bladder or kidney. It diverts the flow of urine in the ureter tube allowing the ureter tube to heal.
In some cases ureter reconstruction is required. Kidney injuries: Kidneys are the most common organ that is injured. The common injuries include kidney failure and infections. Damage to kidneys may also cause hypertension and delay in bleeding. Most commonly observed symptoms are pain in the abdomen, blood in urine, and anemia. If this cannot be done, a tube will be inserted through the abdominal wall directly into the bladder.
This is called a suprapubic tube. It will be left in place until the swelling goes away and the urethra can be repaired with surgery. This takes 3 to 6 months. Injury of the bladder and urethra due to trauma can be minor or fatal. Short- or long-term serious complications can occur. Call the local emergency number or go to the emergency room if you have an injury to the bladder or urethra. Upper urinary tract trauma. Campbell-Walsh-Wein Urology. Philadelphia, PA: Elsevier; chap Shewakramani SN.
Genitourinary system. Reviewed by: Kelly L. Editorial team. Traumatic injury of the bladder and urethra Injury - bladder and urethra; Bruised bladder; Urethral injury; Bladder injury; Pelvic fracture; Urethral disruption; Bladder perforation.
The female and male urinary tracts are relatively the same except for the length of the urethra. The male and female urinary tracts are relatively the same except for the length of the urethra. Causes Types of bladder injuries include: Blunt trauma such as a blow to the body Penetrating wounds such as bullet or stab wounds The amount of injury to the bladder depends on: How full the bladder was at the time of injury What caused the injury Injury to the bladder due to trauma is not very common.
Less than 1 in 10 pelvic fractures lead to bladder injury. Injury to the bladder or urethra may cause urine to leak into the abdomen. This may lead to infection. Shock or internal bleeding may occur after a bladder injury.
This is a medical emergency. Symptoms include:. If there is no or little urine released, there may be an increased risk for urinary tract infections UTI or kidney damage.
An exam of the genitals may show injury to the urethra. If the health care provider suspects an injury, you may have the following tests:. A catheter may be inserted once an injury of the urethra has been ruled out. This is a tube that drains urine from the body. An x-ray of the bladder using dye to highlight any damage can then be done. Emergency surgery may be done to repair the injury and drain the urine from the abdominal cavity in case of extensive injury or peritonitis inflammation of the abdominal cavity.
The injury can be repaired with surgery in most cases. The bladder may be drained by a catheter through the urethra or the abdominal wall called a suprapubic tube over a period of days to weeks. This will prevent urine from building up in the bladder. It will also allow the injured bladder or urethra to heal and prevent swelling in the urethra from blocking urine flow.
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