Management of Wounds and Injuries of Genito-Urinary Tract: A Review of Reported Experience in World War II

Military genitourinary injuries: past, present, and future

“…This challenged analysis of injury patterns and management, but some technical points are worthy of discussion. Bladder injuries were predominately intraperitoneal and were closed primarily when possible ( 5 ). In the case of a suspected urethral injury, catheter placement was attempted with simultaneous digital guidance per rectum to determine whether displacement of the catheter, gross prostatic injury, and/or or displaced fragments of the bony pelvis were evident.…”

“…In the case of a suspected urethral injury, catheter placement was attempted with simultaneous digital guidance per rectum to determine whether displacement of the catheter, gross prostatic injury, and/or or displaced fragments of the bony pelvis were evident. This somewhat primitive form of primary urethral realignment was attempted in all cases regardless of the location or severity of injury ( 5 ). In the case of prostatic displacement, the prostatic apex was sutured to the triangular ligament suprapubically and placed on traction ( 5 ).…”

“…This somewhat primitive form of primary urethral realignment was attempted in all cases regardless of the location or severity of injury ( 5 ). In the case of prostatic displacement, the prostatic apex was sutured to the triangular ligament suprapubically and placed on traction ( 5 ). Large bore catheters (24 or 26 F) were utilized with the hope that future stricture formation would be prevented.…”