What is urethral rupture? Urethral rupture is a common disease of urethral malformation. The male urethra is 17-20 cm long and is divided into the anterior urethra and posterior urethra by the urogenital diaphragm. The anterior urethra includes the glans, penile, and bulbar parts, while the posterior urethra includes the membranous and prostatic parts. The male urethra is very fragile and can be easily injured.
What is urethral rupture? Urethral rupture can cause significant harm, leading to urethral bleeding and difficulty in urination. It can also trigger other complications. Below is a detailed introduction from experts on this topic:
1. Local swelling and bruising: Swelling and hematoma appear in the injured tissue. For example, in cases of straddle injuries, swelling and obvious bruises can be seen in the perineal and scrotal areas.
2. Urethral bleeding: If the injury is at the distal end of the urethral membrane, blood may drip from the external urethral orifice even without urination. If the injury is in the posterior urethra, bleeding is more likely to occur during urination, with a small amount of blood dripping before or after urination.
3. Urinary extravasation and urinary fistula: After a full-thickness tear of the urethra, when the patient forcefully urinates, urine can seep through the tear into surrounding tissues. Secondary infection leading to cellulitis may result in sepsis, which could be fatal if not treated promptly. In open injuries, urine may flow out through skin wounds, intestinal or vaginal fistulas, eventually forming a urinary fistula.
4. Shock: This occurs in severe injuries, especially in posterior urethral injuries associated with pelvic fractures.
5. Difficulty in urination and urinary retention: Complete urethral rupture causes urinary retention in patients. When there is contusion and laceration of the urethra, difficulty in urination and urinary retention may occur due to sphincter spasm caused by pain.
6. Pain: Pain occurs at the site of injury and may radiate to the external urethral orifice. The pain is particularly severe during urination.
Urethral rupture poses a great threat to men's health and manifests in various ways. Therefore, men should pay attention to protecting their urethra. When signs of urethral rupture are detected, active treatment is necessary to prevent complications.
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