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What is If a patient with a suspected fracture of the pelvis has some bleeding from the urethra and is unable to pass urine and explain in detail?
D i.e. He should be prepared for surgery and catheterization attempted in the O.T. Urogenital injuries are common in pelvic fractures (5-10%), especially in men. These injuries should be suspected in conscious patients Who is unable to voidQ or who has gross hematurie - Bloody urethral dischargeQ Swelling or ecchymosis of the penis or perineum - High riding or floating prostate on rectal examination. No attempt should be made to pass a catheter, as this could conve a paial to a complete tear of urethraQ. A retrograde urethrogram should be obtained before attempting to introduce a foley catheter.