Novel method of primary endoscopic realignment for high-grade posterior urethral injuries: A case report

Figure 1 Contrast medium extravasation at bulbar urethra (arrow) with massive hematoma (arrow heads), and “pie in the sky” sign of prostate was noted.

Figure 2 Procedure of primary endoscopic realignment. A: The tip of the Foley catheter was incised and a semi-rigid 4.5/6.5-Fr ureteroscope was inserted; B: Simultaneous antegrade and retrograde endoscopy; C: The guidewire was antegrade and then pulled out through the external urethral meatus using grasping forceps with a cystoscope.

Figure 3 Healed urethra at 28 d after realignment.