Editing Lower Urinary Tract Trauma (section)

===== <span style="color:#ff0000">Anterior injuries</span> =====
*'''<span style="color:#ff0000">Contusions and incomplete injuries: urethral catheter diversion alone</span>'''
*'''<span style="color:#ff0000">Straddle injury to the anterior urethra: suprapubic tube (or primary realignment, in less severe cases) with delayed repair</span>'''
**'''<span style="color:#ff0000">With straddle injury, immediate operative intervention with to repair or debride the injured urethra is contraindicated due to the indistinct nature of the injury border.</span>'''
** '''<span style="color:#ff0000">Stricture formation after straddle injury is very high and thus all patients require follow-up surveillance using uroflowmetry, retrograde urethrogram and/or cystoscopy.</span>'''
** '''<span style="color:#ff0000">Delayed anastomotic urethroplasty is the procedure of choice in the totally obliterated bulbar urethra after a straddle injury</span>'''
*'''<span style="color:#ff0000">Penetrating trauma: prompt surgical repairs should be performed in patients with uncomplicated penetrating trauma of the anterior urethra</span>'''
**'''Spatulated primary repair of uncomplicated injuries in the acute setting offers superior outcomes to delayed reconstruction'''.
*** '''This is in contrast to PFUI or straddle urethral injuries where delayed reconstruction is recommended.'''
** Surgical repair should not be undertaken if the patient is unstable, the surgeon lacks expertise in urethral surgery or in the setting of extensive tissue destruction or loss