Urethral rupture occurs in 4-14% of pelvic fractures, diagnosed by retrograde urethrography
- May be complete or partial
- Important to consider as attempted catheterisation may convert a partial to a complete injury
Signs – meatal bleeding (98%), gross haematuria, perineal haematoma, vaginal laceration
Treatment – depends on location and severity but includes suprapubic or aligning urinary catheter, primary repair or delayed urethroplasty/otomy.