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Case Reports
. 2022 Aug 7:45:102184.
doi: 10.1016/j.eucr.2022.102184. eCollection 2022 Nov.

Urethro-venous fistula following straddle injury: A case report and image series

T Barker  1 , P D'hulst  1   2 , E Fong  1
Affiliations
Case Reports

Urethro-venous fistula following straddle injury: A case report and image series

T Barker et al. Urol Case Rep. .

Abstract

We present a case of a 49-year-old man with an acute traumatic urethral injury after a fall onto a fence post. Retrograde contrast study showed a contrast leak and suspicion of a traumatic urethro-venous fistula. We successfully placed a urethral indwelling catheter (IDC) in the operating room and follow-up urethrocystoscopy showed healing of the injury. The patient remained asymptomatic during further follow-up visits.

Keywords: Retrograde urethrogram; Traumatic urethral injury; Urethro-cavernosal fistula; Urethro-venous fistula.

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Conflict of interest statement

None to declare.

Figures

Fig. 1
Fig. 1
Retrograde urethrogram, showing contrast extravasation into the pelvic venous system.
Fig. 2
Fig. 2
Lateral view of retrograde urethrogram (left). Cystoscopic view of the urethral injury, with the mucosal breach.
Fig. 3
Fig. 3
Follow up cystoscopic view of injury, demonstrating resorption of the haematoma and re-epithelialization of the defect.
See this image and copyright information in PMC

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