Posterior urethral disruption associated with pelvic fracture: the place for delayed repair.

Posterior urethral injuries are most commonly associated with pelvic fractures. Retrograde urethrogram is the study of choice for evaluation of urethral injuries. Controversy exists between advocates of various methods of initial management. Simple suprapubic cystostomy placement with delayed urethral reconstruction is best reserved for patients with life-threatening, extensive injuries or for surgeons with limited experience in the management of this injury.