A 25-year-old man sustains a straddle injury to the perineum and presents with blood at the urethral meatus. Retrograde urethrogram shows extravasation confined to the perineum. Which part of the urethra is most likely injured?

• A Prostatic urethra
• B Membranous urethra
• C Penile urethra
• D Bulbar urethra ✓

Explanation

Straddle injuries typically crush the bulbar urethra against the pubic rami. The bulbar urethra is the most common site of traumatic urethral injury. Membranous injuries are usually associated with pelvic fractures, not isolated straddle injuries.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.