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A REVIEW OF UROLOGIC SURGERY

ALBERT J. SCHOLL, M.D.; E. STARR JUDD, M.D.; LINWOOD D. KEYSER, M.D.; GORDON S. FOULDS, M.D.; JEAN VERBRUGGE, M.D.; ADOLPH A. KUTZMANN, M.D.
Arch Surg. 1930;21(6):1040-1056. doi:10.1001/archsurg.1930.01150180156010.
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URETHRA 

Ruptures.  —Higgins25 stated that there are three types of rupture of the urethra: rupture of the pendulous urethra, rupture of the bulbous urethra and rupture of the intrapelvic urethra. The most common type of rupture is that of the bulbous urethra. The symptoms occurring immediately after this type of rupture usually are pain, hemorrhage from the meatus, difficulty or inability to urinate, tenderness and tumefaction. Perineal hematoma may be present. The degree of trauma is not always indicated by the severity of the symptoms. Although inability to void may be due to a reflex spasm of the compressor urethralis muscle as the result of injury and clots may pass from a minor injury, the history of trauma, of hemorrhage from the meatus and of perineal hematoma associated with inability to void generally indicate rupture of the urethra. Catheterization under strictly aseptic conditions should be attempted. The treatment for

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