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What are the complications of urethral injury?

Dr. Dr. Edward Cheung, MD,  - Surgery specialist at 403 W Adams BlvdLos Angeles, CA 90007
Dr. Edward Cheung, MD

403 W Adams BlvdLos Angeles, CA 90007 Surgery

Expert Medical Information

Complications of urethral injury include urethral stricture, urinary incontinence, urinary extravasation, urinary fistula, infection, and sexual dysfunction. Urethral stricture is the most common complication of urethral injury and can be classified as anterior urethral stricture or posterior urethral stricture. The optimal time for repair and reconstruction is between 3 to 6 months after the injury. The choice of surgical method should be determined based on the patient's condition, preferences, and available medical technology. Urinary incontinence following urethral trauma is commonly seen in severe cases of posterior urethral injury, such as multiple pelvic fractures where bone fragments directly damage the bladder neck. Additionally, iatrogenic urethral injury or damage to the urethral sphincter can also lead to urinary incontinence, which is frequently observed after radical prostatectomy for prostate cancer or following open or transurethral prostatectomy. In women, urinary incontinence accompanied by urethrovaginal fistula can occur after surgery for proximal urethral diverticulum, as well as in cases of frozen urethra.

Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.