There may be severe bleeding and loss of fluids. This may eventually cause vesicoureteric reflux or bilateral obstructive nephropathy . Use appropriate safety equipment during work and play. Do not insert objects into the urethra. If self-catheterization is required, follow the instructions of the health care provider.
Symptoms follow a history of injury.
Palpation may indicate bladder fullness, caused by retention of urine. There may be signs of hemorrhage or shock , including decreased blood pressure . A urinalysis may show blood in the urine . The goals of treatment are control of symptoms, repair of the injury, and prevention of complications. Emergency treatment of bleeding , shock , or hemorrhage may include intravenous fluids or blood, and monitoring in the hospital.