A 24-year-old motorcyclist is brought into the Emergency department with a ‘severe’ pelvic fracture following a road traffic accident. Associated injuries mean that monitoring of urine output is required by the trauma team. What factor would immediately raise the suspicion of an associated urethral injury?
a. Blood at the meatus b. Sleeve haematoma of penis c. High riding prostate on digital rectal examination d. Blood on glove following digital rectal examination e. Butterfly haematoma of perineum
Correct Answer is A
Blood at the meatus
Sleeve haematoma of penis – penile urethral injury (Buck’s fascia intact)
High riding prostate on digital rectal examination (unreliable finding)
Blood on glove following digital rectal examination (rectal injury)
Butterfly haematoma of perineum (takes a while to develop)