Urethral Injury Treatment

What is urethral injury?

Urethral Injury is when the urethra is hurt by force. The male urethra is lot more prone towards injury than the female urethra. Symptoms of urethral injury include swelling in perineum area, pain with voiding or inability to void. Complications can also occur which is infection, erectile dysfunction, incontinence and stricture formation

What are the symptoms of urethral injury?

Symptoms can been felt and seen from outside. Some of them are as:-

  • Blood at the urethral meatus is the most important sign.
  • Poor urine stream.
  • Painful urination
  • Swelling in the penis and perineum region.
  • Lower abdominal pain
  • Inability to pass urine.
  • A feeling of incomplete emptying of bladder
  • Swelling of the testicles (in males only).
  • Pain while ejaculating (in males only).
  • In women, urethral syndrome can also cause discomfort in the vulvar area.

Urethral Injury

Will the injury or the surgery cause problems with sex?

Yes it will cause sexual problem. If the injury is proximal (close to bladder) it can lead to poor erection/ erectile dysfunction. If injury is distal to bladder then it can lead to poor ejaculation and reduced semen volume.
Once surgery is performed, then the patient can resume to normal sexual life within 2 months post-surgery provided surgery is done by an expert.

Will the injury / surgery create problem in urination?

Bladder Neck injury can lead to incontinence.Urethral injury can also lead to stricture formation.Acutely, it can lead to retention of urine with extravagation (perineum swelling). In case of straddle injury, direct impact to perineum with blood at meatus.

How urethral injury can be diagnosed?

A dye study X-Ray Retrograde Urethrogram (RGU) + Micturating Cystourethrogram (MCU) are often done after urethral injury.

What all are the treatment available to cure urethral injury?

The treatment of a urethral injury is very technically challenged. The injury can be successfully repaired with surgery in most cases. In

In case of acute injury the bladder may be drained by a catheter through the urethra or the abdominal wall over a period of days to weeks. This will prevent urine from building up in the bladder.

It will also allow the injured bladder or urethra to heal and prevent swelling in the urethra from blocking urine flow.
Suprapubic cysostomy is done if catheterization is not done. Primary realignment of urethra can be attempted within 2-3 days of injury. Urethral repair is planned 4 months post injury.

What are the precautions to be taken care before urethral surgery?

Check for urethral defect / displacement,  erectile profile of male patient,sensation over penis and glans.

What can a patient expect after surgery?

If injury is treated by urologist specialized in Genito-Urinary reconstructive urology, patient can resume his routine social as well as sexual life within 2 months after surgery.

Which doctor to consult for urethral injury?

A Urologist who is specialized in Genito-Urinary reconstructive urology is the choice of expert for the treatment of urethral injury.

What is the success rate of this surgery?

At Centre for Urethra and Penile surgery success rate is approximately 85%-90%. UPS has highly qualified and highly experienced urologists headed by Dr.Gautam Banga who has performed over 1000 Urethral surgeries successfully PAN India.

For any further enquiry on Urethral Injury please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com

Priapism: The Pain of a Prolonged Erection

Priapism is a persistent and painful medical condition in which the erection in the penis lasts for several hours say 4 hours. The erect penis does not return to its flaccid state within 4 hours as in this condition, the erection is not necessarily related to sexual stimulation or excitement. During this time, the shaft of the penis is rigid and inflexible, but the head of the penis (the glans) is usually soft. The penis is also usually painful or tender.

Priapism is a relatively uncommon disorder, is a medical emergency, which should receive proper treatment by the Andrologist which is often required to prevent the tissue damages that can lead to the inability in order to get or simply maintain an erection causing erectile dysfunction.

Symptoms Of Priapism:

This condition is not often persistent erection, which is not relevant to certain sexual stimulation. The symptoms about the same can depend on various types which are mentioned below:

S.No. Type of Priapism Causing factor
1 Ischaemic  (Most common Type)

Also called as low blood flow Priapism

caused by lack of blood flow through the penis
2 Non- Ischaemic  (Rare Type)

Also called as high blood flow Priapism

caused by an injury to the genitals or perineum
3. Recurrent or Intermittent similar to ischaemic priapism but characterised by recurrent, long-lasting, painful erections that ease after 2-3 hours

Causes of Priapism

  • Injury: The injuries leading to blood loss from the penis
  • Blood disorders: can lead to this issue, which further brings in issues like leukaemia and sickle cell anaemia.
  • Alcohol & drug use: Misuse of ED drugs like Viagra and too much of alcohol consumption.

Diagnosing Priapism

When blood is trapped in the penis, it loses oxygen. That oxygen-poor blood can damage tissues in the penis. If you think you have the issue of priapism, you are supposed to see a competent Urologist right away. The following investigations help to rule out the type of Priapism:

  • Physical examination: Andrologist reviews all the medical history of patient and evaluate physically.
  • Blood Gas Measurement: A small needle is used to draw blood from the penis to see if it is low in oxygen.
  • Color Doppler ultrasound: It is an imaging test that simply show how the blood is seen flowing inside your penis

Priapism Treatment

There are several steps that can help in preventing this disease.

  • Change or put a full stop on the medications prescribed for ED that carry the possible causes.
  • Avoid use of illegal drugs or alcohol.
  • Stop taking the self-injection for erection.

The treatment for priapism depends on the results of the blood tests. These interventions are simply carried out in a step wise manner with surgery being the last option. If not treated this condition leads to erectile dysfunction in the future.

The Treatments for Priapism are as follows:

  • Medication: The medication simply constricts the blood vessels, which carry blood over the penis that is injected over the penis with a small 29 gauge needle over the corpora cavernosa area of the penis.
  • Aspiration: The blood is very much drained from the penis employing 16 or 18 gauge needle and syringe.
  • Surgery: A surgical procedure can help in rerouting the blood can be performed. After this you can place over the area over the genitals.

For any further enquiry on Priapism please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com