Immediate repair in complete anterior urethral injury caused by blunt trauma: a case report and literature review.

Abstract

Injury of the urethra is a rare but significant medical condition, often caused by blunt trauma. In Indonesia, incidence is underreported. A 48-year-old male with blunt perineal trauma presented with open penile-scrotal wound and inability to void. Suspecting anterior urethral rupture, urinary diversion was performed. Due to unavailable urethrography and open wound, surgical exploration was necessary and confirmed complete rupture, managed by primary anastomosis. Complete urethral ruptures are uncommon, and initial management requires urinary diversion, with delayed urethroplasty based on severity. This case highlights diagnostic and treatment challenges in complete anterior urethral rupture.