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Urethral trauma urethra (Diagnostic tests (Cystoscopy, Urethral…
Urethral trauma
Definition
Refers to any form of injury in the urethra
Pathophysiology
Trauma to tissue and surrounding blood vessels occurs
Impairment of function of urethra follows
Urethra is subjected to injury
Characteristic urine retention and inability to void
Characteristic pain on urinating
Characteristic hematuria
Clinical manifestation
Inability to void
Perineal,scrotal,labial ecchymosis
Pain in voiding
Edema
Inflammation
Hematuria
Swelling
Pain in belly
Causes
Crush injuries
Falls from high ground
Car crashes
Bullets / knives
Sexual assault
Diagnostic tests
Cystoscopy
Urethral catheterization
X-Ray
CT scan and MRI
Retrograde urethrography
Ultrasonography
Void cystourethrography
Blood tests
Urinalysis
Pharmacology
Analgesics - pain
Antibiotics - infection
Nursing intervention
Observe for changes in mental status
Position for comfort
Investigate report of bladder fullness
Encourage use of sitz baths to perineum
Encourage fluid intake
Administer antibiotics as prescribed
Assess pain and nature of it
Health education
Avoid using skin irritants on operated area post surgery
Eat a well-balanced diet to promote healing post surgery
Avoid actvities causing discomfort
Abstain from sexual intercourse until healin is complete
