Simultaneous Bladder and Prostatomembranous Urethral Rupture from External Trauma

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Abstract
Simultaneous bladder and prostatomembranous (posterior) urethral ruptures from external trauma occur in 10-29% of male patients with traumatic rupture of the posterior urethra. The records of 47 male patients with traumatic rupture of the posterior urethra were evaluated. A total of 8 patients (17%) had simultaneous rupture of the bladder (4 extraperitoneal, 3 intraperitoneal and 1 both) and posterior urethra (5 complete and 3 partial ruptures). A fractured pelvis was present in all 8 patients, with an average of 3.1 associated injuries/patient. Both ruptures were diagnosed preoperatively in only 1 patient. In male patients with multiple injuries, including a fractured pelvis and rupture of the posterior urethra, a concomitant rupture of the bladder must be suspected and sought at surgical exploration.