First one with correct answer with justification win.

 

[size=20px]A six-year old boy presents with pelvic pain after being struck by a car while riding his bike. He has not voided since the injury. On exam he is hemodynamically stable with perineal swelling, tenderness and hematoma. Blood is noted at the urinary meatus. Plain radiographs reveal a pelvic fracture and a retrograde urethrogram shows contrast extravasation at the level of the membranous urethra and fails to opacify the bladder.

 

The next best step in management of this patient with a urethral injury is

 

A Foley catheter placement.

 

B cystoscopy.

 

C suprapubic tube cystostomy.

 

D bilateral percutaneous nephrostomies.

 

E perineal exploration.[/size]

C

C suprapubic tube cystostomy.

The correct answer

C suprapubic tube cystostomy.