Addison, E. and Yool, D. A. (2018) Urethral trauma. In: Drobatz, K. J., Hopper, K., Rozanski, E. and Silverstein, D. C. (eds.) Textbook of Small Animal Emergency Medicine. Wiley: Hoboken, NJ, pp. 641-645. ISBN 9781119028932 (doi: 10.1002/9781119028994.ch100)
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Abstract
Urethral trauma is uncommon in small animal patients. Causes include vehicular trauma, bite wounds, pelvic fractures, penetrating injuries, urolithiasis, and iatrogenic trauma during catheterization or surgery. Clinical signs include dysuria, hematuria, anuria, abdominal distension, depression, anorexia and inguinal, perineal, and hindlimb swelling. Patients require stabilization with correction of any metabolic derangements, evaluation of hemodynamic status and provision of urinary diversion. Treatment options include conservative management with second intention healing and temporary urinary diversion, primary repair with urethral anastomosis, or urethrostomy to provide permanent urinary diversion. Complications following treatment of urethral trauma are frequent, with urinary tract infections being the most common. Patients with iatrogenic urethral injury have a better outcome and prognosis in comparison to traumatic cases. However, the degree of rupture does not correlate with prognosis.
| Item Type: | Book Sections |
|---|---|
| Status: | Published |
| Glasgow Author(s) Enlighten ID: | Yool, Professor Donald and Addison, Miss Elena |
| Authors: | Addison, E., and Yool, D. A. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Biodiversity, One Health & Veterinary Medicine |
| Journal Name: | Textbook of Small Animal Emergency Medicine |
| Publisher: | Wiley |
| ISBN: | 9781119028932 |
| Published Online: | 24 September 2018 |
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