Urology

Ureteral injuries

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Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is :

a) Ureterocystostomy

b) Uretero ureterostomy

c) Ureterostomy

d) Ligation of ureter 

Rupture of Urinary Bladder

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Q) Rupture of Urinary Bladder : False statement is 

a) Associated with perineal hematoma

b) Emergency laparotomy is required in most cases

c) Investigation of choice is IVP

d) Blunt urinary bladder trauma is associated with pelvic fractures

Answer c

Both b and c are wrong but the question was like this only.

Rupture of urinary bladder is mostly extraperitoneal (80%) but can also be intraperitoneal (20%). Intra peritoneal rupture is usually when injury occurs in a full distended bladder. Haematuria may or may not be present.

Perineal injuries may be seen in most cases

Associated uretheral injury may be common.

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