Urethral Rupture – Specialized Trauma Repair & Reconstructive Care by Dr. Premkumar K

Urethral Rupture is a serious injury where the urethra (the tube that carries urine out of the body) is partially or completely torn. It commonly occurs due to pelvic fractures, road traffic accidents, straddle injuries, or direct trauma to the pelvis or perineum. Dr. Premkumar K, an expert in Reconstructive Urology & Urethral Surgery, offers precise diagnosis, emergency stabilization, and advanced reconstructive procedures to restore normal urinary function.

• Causes of Urethral Rupture – Pelvic fractures, road traffic accidents, straddle injuries (e.g., falling on a hard object), sports trauma, industrial accidents, or severe blows to the genital or pelvic region.

• Types of Urethral Injury – Anterior urethral rupture (bulbar or penile region) and posterior urethral rupture (pelvic fracture-associated). Severity ranges from partial tears to complete disruption.

• Common Symptoms – Inability to pass urine, blood at the opening of the penis (urethral meatus), perineal swelling or bruising, pelvic pain, difficulty urinating, or urinary retention due to obstruction.

• Diagnostic Evaluation – Retrograde urethrogram (RUG), ultrasound, CT scan, pelvic X-ray, cystoscopy, and assessment of associated pelvic injuries to determine the extent of the urethral tear.

• Emergency Management – Avoiding catheter insertion until imaging is done, placement of suprapubic catheter for urine drainage, stabilization of bleeding, pain control, and prevention of infection.

• Definitive Treatment – Primary realignment, staged reconstruction, or urethroplasty depending on the severity of injury. Complex posterior urethral distraction defects require advanced reconstructive expertise.

• Reconstructive Surgery – Urethral grafting, excision and primary anastomosis, endoscopic realignment, and staged repair for complete ruptures to restore normal urine flow and prevent long-term complications.

• Possible Complications Managed – Urethral stricture, urinary leakage, incontinence, erectile dysfunction, recurrent infections, and scar tissue formation after trauma.

• Long-Term Follow-Up – Regular uroflowmetry, imaging, and functional assessment to ensure long-term urinary comfort, good flow, and prevention of stricture recurrence.

With advanced trauma evaluation, precise surgical technique, and expertise in urethral reconstruction, Dr. Premkumar K provides the highest level of care for patients suffering from urethral rupture.

If you or someone has sustained pelvic or perineal trauma and is unable to pass urine, immediate medical attention is crucial. Consult Dr. Premkumar K for expert Urethral Rupture diagnosis and personalized treatment.