Bladder Neck Involvement in Surgery — 32yo Man | General Surgery | SMLE Q#1305
SMLE Question #1305
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 32-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He has severe pelvic and lower abdominal pain and cannot void. A urethral catheter is passed and returns grossly hematuric urine. CT cystography shows an extraperitoneal bladder rupture with bladder neck involvement and contrast extravasation around the bladder base, with no intraperitoneal leak. What is the most appropriate management?
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