Case II A 31 year old construction worker was walking along a steel beam when he fell, straddling it.

He has in severe pain because of trauma to his testes and perineum. Later he observed swelling and discoloration of his scrotum, and when he attempted to urinate, only a few drops of bloody urine appeared. He went to a hospital emergency department. After examining the patient, the physician consulted a urologist who ordered radiographic studies of the patient s urethra and bladder. Radiology report. !he radiographic studies revealed a rupture of the spongy urethra "ust inferior to the inferior fascia of the external urethral sphincter and deep transverse perineal muscles. #rethrograms showed passage of contrasting material out of urethra into the surrounding tissues of the perineum Diagnosis $upture of the proximal part of the spongy urethra with extravasation of urine into the surrounding tissue. Clinicoanatomical problems. 1. %hen the patient tried to urinate, practically no urine came from his external urethra orifice. %here did it go & '. (xpalin why extravasated urine cannot pass posteriorly, laterally, or into the lesser pelvic