Editing Penis and Urethra Surgery (section)

=== Diagnosis and Evaluation ===
* Important to define the precise anatomy of the pelvic fracture injury before treatment is undertaken
* '''<span style="color:#ff0000">Imaging'''
**'''<span style="color:#ff0000">Cystogram''' 
***'''<span style="color:#ff0000">Provides information on (3):'''
***#'''<span style="color:#ff0000">Rostral displacement of the proximal urethra'''
***#'''<span style="color:#ff0000">Bladder outline'''
***#'''<span style="color:#ff0000">Bladder neck competency'''
***#*'''<span style="color:#ff0000">Contrast in the prostatic urethra suggests an incompetent, open bladder neck'''
***#*'''<span style="color:#ff0000">Lack of contrast in the prostatic urethra suggests a competent, closed bladder neck'''
***#**'''<span style="color:#ff0000">The appearance of the bladder neck on contrast studies or on antegrade endoscopy does not accurately predict the ultimate function of the bladder neck after urethral reconstruction'''
***#***'''Although a lack of contrast material in the posterior urethra gives some information about the integrity of the bladder neck, contrast material may opacify the prostatic urethra when the bladder neck is more than adequately competent for continence'''
***#***In the past, great reliance was placed on whether the bladder neck was closed or open on cystography.
***#***If truly incompetent, open bladder neck, consider continent stoma instead of urethroplasty
***#***'''Can obtain videourodynamics to determine bladder neck competency'''