If a patient with a suspected fracture of the pelvis has some bleeding from the urethra and is unable to pass urine
He should be encouraged to pass urine after being given antibiotics and analgesics
He should be immediately catheterized in the ward
A hot water bottle should be given followed by injection of carbachol
He should be prepared for surgery and catheterization attempted in the O.T.
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.