Extravasation of urine
| Extravasation of urine | |
|---|---|
| Specialty | Urology |
Extravasation of urine refers to the condition where an interruption of the urethra leads to a collection of urine in other cavities (extravasation), such as the scrotum or the penis in males. It is sometimes associated with a calculus.[1]
Mechanism
[edit]An injury to the urethra leaving Buck's fascia intact results in a collection of urine (extravasation) limited to the penis, deep to Buck's fascia. If the injury to the bulb of the penis results in urethral injury accompanying a tear of Buck's fascia, then extravasated blood and urine accumulates in the superficial perineal space, passing into the penis (outer to Buck's fascia) as well as the scrotum and lower anterior abdominal wall. Extravasation of urine involving a compromised Buck's fascia can be observed clinically, with blood collecting in the inguinal superficial pouch, resulting in a butterfly-shaped region surrounding the penis.[citation needed]
Urinoma
[edit]Long term complications of renal trauma, ureteral obstruction, or kidney transplant can lead to the formation of an urinoma encapsulating extravasated urine.[2]
References
[edit]- ↑ Koktener, Asli; Unal, Dogan; Dilmen, Gulcin; Koc, Akif (August 2007). "Spontaneous Rupture of the Renal Pelvis Caused by Calculus: A Case Report". The Journal of Emergency Medicine. 33 (2): 127–129. doi:10.1016/j.jemermed.2006.12.031. ISSN 0736-4679. Archived from the original on 2024-09-21.
- ↑ Gild, Philipp; Kluth, Luis A.; Vetterlein, Malte W.; Engel, Oliver; Chun, Felix K.H.; Fisch, Margit (2018). "Adult iatrogenic ureteral injury and stricture–incidence and treatment strategies". Asian Journal of Urology. 5 (2): 101–106. doi:10.1016/j.ajur.2018.02.003. PMC 5934506. PMID 29736372.