Major trauma, unlikely to occur in isolation (check liver and spleen!)
Ix CT + contrast. Will find:
- renal perfusion
- avulsed pedicle (no haematuria!)
UK: surgical trauma. USA: gunshot, knife wound. Rx. stent.
Surgical trauma (resection, cystocele), pelvic trauma.
Δx cystography. ΔDelta;x ruptured urethra (DRE).
Rx. catheter, conservative.
Catherisation, pelvic trauma. Peritonitis. Rx. surgical repair.
Pelvic #, perineal trauma. Ix DRE (high riding prostate),
contrast studies. Rx. suprapubic catheter, surgical repair.
# penis = ruptured tunica albuginea.
Hx. trauma to erect penis, rapid detumescence. Rx. surgical repair
to prevent future impotence.
Trauma unusual. US to look for rupture. Rx. surgical repair.