A 20-year-old man suffers an injury to the posterior urethra. After appropriate initial management and follow-up care of this injury, the most likely late complication is
|A||Ascending urinary tract infection|
a. Urethral injuries are classified as those confined to the posterior urethra (above the urogenital diaphragm) or the anterior urethra (below the urogenital diaphragm).
b. Posterior urethral injuries are further subclassified as type I (urethral stretch), type II (urethral disruption proximal to the urogenital diaphragm), or type III (proximal and distal disruption of the urogenital diaphragm).
c. For treatment of posterior urethral injuries, early endoscopic realignment is considered as an excellent initial option.Realignment of the damaged urethra with a stented Foley catheter can lead to either complete healing of the urethral injury or need for future endoscopic treatment of developed urethral strictures.
d. If realignment of the damaged urethra cannot be achieved, then suprapubic catheterization, followed by delayed combined antegrade and retrograde endoscopic repair or open surgical repair, is undertaken.
e. The bulbar urethra is typically the site of injury.