Editing Lower Urinary Tract Trauma (section)

==== <span style="color:#ff0000">History and Physical Exam</span> ====

===== Physical Exam =====
* '''<span style="color:#ff0000">Indicators of urethral trauma (5):</span>'''
*# '''<span style="color:#ff0000">Blood at the urethral meatus</span>'''
*#* '''<span style="color:#ff0000">Most common finding</span>'''
*# '''<span style="color:#ff0000">Inability to urinate</span>'''
*# '''<span style="color:#ff0000">Perineal/genital ecchymosis</span>'''
*# '''<span style="color:#ff0000">In males, high-riding prostate on physical exam</span>'''
*# '''<span style="color:#ff0000">In females, labial edema and/or blood in the vaginal vault</span>'''
* '''<span style="color:#ff0000">If Buck’s fascia disrupted, blood and urinary extravasation into the scrotum may occur</span>'''
** '''<span style="color:#ff0000">Recall, Colle’s, Scarpa’s and Dartos are continuous.</span>'''
** '''<span style="color:#ff0000">If Buck’s fascia (deep to Dartos) is disrupted, urine will travel outside Buck’s but below Dartos in penis, up into scrotum below dartos layer and up abdominal wall below Scarpa’s. The posterior limit is Colle’s fascia. This pattern describes the “butterfly” urinoma/hematoma</span>'''
*** '''See [https://o.quizlet.com/kF16urqAKtHYl6JkCBdEvA.png Figure]'''