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Ruptured Urethra Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic provides urgent and reconstructive care for ruptured urethra under the experienced care of Dr. Aditya Sengar (Urologist). Urethral injuries are urological emergencies which, if not managed correctly, can lead to long-term problems such as urinary incontinence, erectile dysfunction and urethral stricture. We focus on timely stabilisation, safe urinary diversion and planning the most appropriate definitive repair to restore urinary function and quality of life.
What is a Ruptured Urethra?
A ruptured urethra means there is a tear or complete disruption in the urethral
tube. Injuries are classified by location—anterior urethra (bulbar and
penile urethra) and posterior urethra (membranous/prostatic urethra).
Posterior urethral injuries are commonly associated with pelvic fractures, whereas
anterior injuries often follow straddle trauma or direct blows.
Correct identification of the injury type and extent is essential to decide whether temporary urinary diversion or early repair vs delayed reconstructive urethroplasty is best for the patient.
Correct identification of the injury type and extent is essential to decide whether temporary urinary diversion or early repair vs delayed reconstructive urethroplasty is best for the patient.
Typical Signs of Urethral Injury
Key signs include blood at the urethral meatus, inability or
severe difficulty to pass urine, painful distended bladder, scrotal/perineal
swelling or bruising, and urinary leakage into surrounding tissues. Presence
of these signs after trauma should prompt urgent urological evaluation.
Associated Symptoms & Concerns
Patients may have abdominal discomfort from retention, difficulty voiding,
fever if infection is present, or features of pelvic fracture and other
injuries. Early management aims to prevent infection, preserve bladder and
renal function and plan repair to optimise future urinary and sexual outcomes.
Common Causes & Risk Factors
1. Pelvic Fracture: High-impact trauma (road traffic accidents,
crush injuries) damaging the pelvic ring commonly causes posterior urethral
disruption.
2. Straddle or Penile Trauma: Falls astride a beam or bicycle injuries often injure the bulbar/penile urethra.
3. Iatrogenic Injuries: Instrumentation (catheterisation, dilatation) can sometimes cause urethral tears, especially in strictured or fragile urethras.
4. Penetrating Trauma: Stab wounds or gunshot injuries may directly disrupt the urethra.
2. Straddle or Penile Trauma: Falls astride a beam or bicycle injuries often injure the bulbar/penile urethra.
3. Iatrogenic Injuries: Instrumentation (catheterisation, dilatation) can sometimes cause urethral tears, especially in strictured or fragile urethras.
4. Penetrating Trauma: Stab wounds or gunshot injuries may directly disrupt the urethra.
Investigation & Diagnosis
Retrograde urethrogram (RUG) is the principal test to localise and grade the
urethral injury. Additional imaging—ultrasound, CT scan—assesses pelvic or
abdominal injuries. Endoscopic evaluation (cystoscopy) may be used for
planning or attempting early realignment when appropriate.
Why Choose Swastik Urology Clinic for Ruptured Urethra?
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow provides
coordinated emergency and reconstructive urethral care:
• Emergency Expertise & Rapid Stabilisation
Prompt assessment, safe bladder drainage and infection control are priorities to protect kidney and bladder function.
• Experience in Urethral Reconstruction
We offer endoscopic realignment when feasible and definitive urethroplasty (anastomotic or substitution techniques) for complex or delayed repairs performed with meticulous technique to optimise urinary and sexual outcomes.
• Individualised Timing & Approach
Management is tailored—some injuries are best managed by temporary suprapubic diversion followed by delayed reconstruction; others may benefit from early endoscopic realignment. Decisions are made considering associated injuries, infection, tissue condition and overall patient stability.
• Comprehensive Follow-Up & Rehabilitation
After repair we monitor for stricture recurrence, urinary flow, continence and erectile function and provide interventions (dilatation, internal urethrotomy, further surgery) and supportive rehabilitation where required.
• Emergency Expertise & Rapid Stabilisation
Prompt assessment, safe bladder drainage and infection control are priorities to protect kidney and bladder function.
• Experience in Urethral Reconstruction
We offer endoscopic realignment when feasible and definitive urethroplasty (anastomotic or substitution techniques) for complex or delayed repairs performed with meticulous technique to optimise urinary and sexual outcomes.
• Individualised Timing & Approach
Management is tailored—some injuries are best managed by temporary suprapubic diversion followed by delayed reconstruction; others may benefit from early endoscopic realignment. Decisions are made considering associated injuries, infection, tissue condition and overall patient stability.
• Comprehensive Follow-Up & Rehabilitation
After repair we monitor for stricture recurrence, urinary flow, continence and erectile function and provide interventions (dilatation, internal urethrotomy, further surgery) and supportive rehabilitation where required.
Ruptured Urethra – Treatment Options at Swastik Urology Clinic
Management depends on injury type, location, timing and patient condition:
1. Immediate Stabilisation & Urinary Diversion
• If urethral catheterisation is unsafe or impossible, a suprapubic catheter is placed to drain urine and reduce contamination.
• Broad-spectrum antibiotics, pain control and treatment of other injuries are started.
2. Gentle Attempt at Urethral Catheterisation (Only When Safe)
• In select partial injuries, careful catheter placement under vision may be attempted, but forceful attempts must be avoided to prevent worsening damage.
3. Endoscopic Assessment & Realignment
• Endoscopic realignment (retrograde and antegrade endoscopy) can be attempted acutely in carefully selected cases to align the urethral ends and may reduce stricture length. This is decided on a case-by-case basis.
4. Delayed Definitive Repair (Urethroplasty)
• Once the patient is stable and surrounding tissues have healed (often after 3–6 months), definitive urethroplasty is planned. Techniques include tension-free anastomotic repair for short posterior disruptions and graft or flap substitution urethroplasty for complex anterior defects.
5. Management of Complications
• Urethral strictures after injury may be treated by dilation, internal urethrotomy or definitive urethroplasty depending on length and complexity.
6. Multidisciplinary Care
• In pelvic fractures or severe trauma, we work with orthopaedics, general surgery and critical care teams to coordinate optimal timing and care.
1. Immediate Stabilisation & Urinary Diversion
• If urethral catheterisation is unsafe or impossible, a suprapubic catheter is placed to drain urine and reduce contamination.
• Broad-spectrum antibiotics, pain control and treatment of other injuries are started.
2. Gentle Attempt at Urethral Catheterisation (Only When Safe)
• In select partial injuries, careful catheter placement under vision may be attempted, but forceful attempts must be avoided to prevent worsening damage.
3. Endoscopic Assessment & Realignment
• Endoscopic realignment (retrograde and antegrade endoscopy) can be attempted acutely in carefully selected cases to align the urethral ends and may reduce stricture length. This is decided on a case-by-case basis.
4. Delayed Definitive Repair (Urethroplasty)
• Once the patient is stable and surrounding tissues have healed (often after 3–6 months), definitive urethroplasty is planned. Techniques include tension-free anastomotic repair for short posterior disruptions and graft or flap substitution urethroplasty for complex anterior defects.
5. Management of Complications
• Urethral strictures after injury may be treated by dilation, internal urethrotomy or definitive urethroplasty depending on length and complexity.
6. Multidisciplinary Care
• In pelvic fractures or severe trauma, we work with orthopaedics, general surgery and critical care teams to coordinate optimal timing and care.
Possible Complications & What to Expect
Complications after urethral rupture or its repair can include urethral stricture
(narrowing), urinary incontinence, erectile dysfunction and recurrent urinary
tract infections. The risk varies with injury severity and treatment. The aim of
specialised care is to minimise these risks through careful planning, skilled
reconstruction and long-term follow-up.
How is a ruptured urethra confirmed?
A retrograde urethrogram (RUG) is the standard investigation to visualise the site and extent of urethral injury. Clinical signs such as blood at the meatus, inability to pass urine and perineal/scrotal swelling also raise strong suspicion. Additional imaging (CT, ultrasound) helps detect related pelvic and abdominal injuries.
Will I be able to urinate normally after repair?
Many patients regain satisfactory urinary flow after successful urethroplasty, though some may need further procedures for residual narrowing. Urinary continence and sexual function are important considerations—most patients maintain continence, but outcomes depend on injury severity and repair type. Your surgeon will discuss realistic expectations and rehabilitation options.
When is surgery performed — early or delayed?
Timing is individualised. In unstable trauma patients or when tissues are contaminated/inflamed, temporary diversion followed by delayed definitive urethroplasty (after months of healing) is commonly preferred. Early endoscopic realignment may be considered in selected stable patients to reduce stricture severity. Your urologist will recommend the safest timing for your situation.
When should I seek emergency care for suspected urethral injury?
Seek urgent urology care if you have pelvic trauma with inability to pass urine, blood at the urethral opening, progressive scrotal/perineal swelling or severe lower abdominal distension. Timely diversion and appropriate imaging can prevent infection and long-term problems.