Trouble at the Meatus

You are examining a 27 year old male who presents to the ED after slipping off a ledge in an elevator shaft. He was just hired on as an elevator technician and received only 1 day of formal training. He works for the silicon valley startup called “Going Up”, where they crowdsource technicians with an app. The patient slipped and fell several feet down the shaft, eventually straddling a crossbeam. He felt immediate pain and has not been able to urinate since the accident. Which of the following is true?

A. If a foley is inserted and draining urine in the setting of pelvic fracture, the foley should still be removed

B. The majority of urethral injuries are nonoperative

C. Anterior urethral injuries are commonly complicated by incontinence

D. Performing a retrograde urethrograde is always indicated in the setting of suspected urethral trauma

E. Posterior urethral injuries are most commonly secondary to pelvic fractures


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Blake Briggs