|The announcement title||JUA guidelines on urological trauma: urethral trauma|
|Conference Type||Domestic Society|
|Announcement form||Oral presentation|
|Presentation Type||Symposium/Workshop/Panel Discussion|
|Lecture Type||シンポジウム・ワークショップ パネル（指名）|
|Publisher and common publisher||Horiguchi Akio, Saito Daizo, Kanematsu Akihiro, Tabei Tadashi|
(city and name of the country)
|Society abstract||SY34-3 2023|
|Description||Urethral trauma is a relatively rare urological injury classified into external injury and iatrogenic injury. Although neither trauma is fatal, there is a risk of dysuria, pain, and infection due to urinary extravasation. In addition, there is a high likelihood of subsequent urethral stricture, which can significantly impair quality of life. Straddle-type injuries to the bulbar urethra and posterior urethral injuries associated with pelvic fractures are common external urethral injuries. Iatrogenic urethral injuries are caused by improper insertion or removal of urethral catheters or endoscopic manipulation during transurethral surgery.
Management of urethral trauma can be categorized into acute treatment immediately after injury and delayed treatment for subsequent urethral stricture. The goal of acute treatment is to minimize damage to the urethra. Keys are to quickly identify the site and extent of the injury and prevent inflammation and infection of the corpus spongiosum by securing a drainage route for urine. The most crucial issue in acute treatment is to avoid forcible and repeated urethral catheterization. From the viewpoint of delayed treatment of urethral stricture, it is preferable to create a suprapubic tube rather than place a urethral catheter. After three months from the injury, the presence and degree of urethral stricture are evaluated, and delayed treatment should be considered.
This symposium will include a detailed lecture on the main points of the five clinical questions regarding urethral trauma addressed in the JUA guidelines on urological trauma.