Question

If you see extravasation on the retrograde urethrogram, what is the management for extraperitoneal vs intraperitoneal?

1) Surgical exploration and repair for both extraperitoneal and intraperitoneal extravasation
2) Conservative management for extraperitoneal extravasation and surgical exploration and repair for intraperitoneal extravasation
3) Conservative management for both extraperitoneal and intraperitoneal extravasation
4) Surgical exploration and repair for extraperitoneal extravasation and conservative management for intraperitoneal extravasation

Answer 1

The management for extraperitoneal and intraperitoneal extravasation differs. Extraperitoneal extravasation can be managed conservatively, while intraperitoneal extravasation usually requires surgical exploration and repair.

Step-by-step explanation:

If extravasation is seen on a retrograde urethrogram, the management for extraperitoneal and intraperitoneal extravasation differs. Extraperitoneal extravasation refers to leakage of urine outside the peritoneal cavity, while intraperitoneal extravasation refers to leakage of urine within the peritoneal cavity.

For extraperitoneal extravasation, conservative management is usually appropriate. This involves monitoring the patient's condition, providing supportive care, and allowing the body to heal on its own. Surgical exploration and repair are generally reserved for cases where conservative management fails or there are complications.

On the other hand, intraperitoneal extravasation usually requires surgical exploration and repair. This is because the leakage of urine within the peritoneal cavity can have more severe consequences, such as peritonitis or infection. Surgery is necessary to identify and repair the source of the leakage to prevent further complications.