RT Book, Section A1 Moore, Sarah A1 Pedigo, Ryan A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181041261 T1 Urethral Rupture T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181041261 RD 2024/03/28 AB Urethral injury is rarely an isolated event; it is often associated with multiple trauma. Anterior urethral injuries are most often the result of a straddle injury and may present late (many patients are still able to void) with a local infection or sepsis from extravasated urine. Posterior urethral injuries occur in motor vehicle and motorcycle accidents and are usually the result of pelvic fractures. Patients have blood at the urethral meatus, cannot void, and have perineal bruising. In men, the prostate is often boggy or free-floating or may not be palpable at all if there is a retroperitoneal hematoma between the prostate and the rectum.