A 20-yrs-old man suffers an injury to the posterior urethra. After appropriate initial management and follow-up care of this injury, the most likely late complication is:
Ascending urinary tract infection
Retrograde ejaculation
Sterility
Urethral stricture
Initial management involves passage of catheters through the urethral meatus and through an incision in the bladder.
After this has been accomplished, a Foley catheter is threaded through the urethra into the bladder and left in situ. Urethral healing occurs as the hematoma resolves, but a posterior urethral stricture is not uncommon. If the stricture is not managed appropriately, ascending urinary tract infection may result.