Primary Urethral Realignment Versus Suprapubic Cystostomy After Pelvic Fracture Urethral Injury
Primary Urethral Realignment Versus Suprapubic Cystostomy After Pelvic Fracture Urethral Injury
Pelvic fracture urethral injuries (PFUI) occur in up to 10% of pelvic fractures. It remains
 controversial whether initial urethral realignment after PFUI decreases rates of urethral
 obstruction and the need for subsequent urethral procedures.

 The retrospective record review should determine the utility of acute urethral realignment
 after PFUI.
A retrospective chart review to compare outcomes between urethral realignment (group 1) and
 suprapubic tube (SPT) placement (group 2). The comparison will be between two routinely
 practiced management approaches of urethral injury after pelvic fracture.

 Prior studies demonstrate urethral realignment is associated with a 15% to 50% reduction in
 urethral obstruction, however, it has also been associated with higher rates of incontinence
 and erectile dysfunction. Our hypothesis is that early realignment of traumatic urethral
 injuries after pelvic fracture lowers the incidence of complications like urethral strictures
 and subsequent need for surgeries.
Inclusion Criteria:

 Men > 18 years old Blunt force trauma Presence of pelvic fracture Urethral injury Inability
 to pass a Foley catheter retrograde through the injury into the bladder

 Exclusion Criteria:

 Straddle type urethral injuries without a pelvic fracture Passage of a catheter
 successfully in a retrograde fashion