DOI: https://doi.org/10.36347/sasjs.2026.v12i04.008

Pages: 287-293

Aim: The aim of this retrospective study was to describe the presentation and management of anterior and posterior urethral injuries seen over a 20-year period. Patients & Methods: We retrospectively evaluated patients with urethral injuries treated between 2005 and 2025 in University of Uyo Teaching Hospital and KSH specialist Hospital ltd. Data retrieved from patients’ case notes, theatre, wards and clinic records included patient age, gender, aetiology, mode of presentation, diagnostic parameters, management and outcome. Results: A total number of 125 urethral injuries were seen out of which 120 (96%) were male and 5 (4%) females (ratio of 24: 1). The age range varied from 3 to 60 years with peak between 20-40yrs (mean 31.15 + 9.35SD). Of the male patients 72/120 (60%) had anterior urethral injuries and 48/120 (40%) had posterior urethral injuries. The major etiological factors were road traffic injuries with pelvic fractures in 41 patients (32.8%); straddle/ fall astride injuries in 36 (28.8%); iatrogenic injuries in 20 (16%); fall from heights in 11(8.8%) penetrating injuries 10 (8%); industrial crush injuries 3 (2.4%); penile fracture and amputation in 3 (2.4%) and one rape victim 1 (0.8%). Conclusion: Treatment was determined by the location, extent of injuries and aetiological factors involved. Early suprapubic cystostomy, urethrography and delayed urethroplasty were the mainstay of management.