Which statement regarding genitourinary injuries is correct?

The statement that urethral injuries are associated with pelvic fractures is accurate and reflects an important clinical consideration in trauma management. In cases of pelvic fractures, the mechanism of injury often involves significant forces that can disrupt both bony structures and associated soft tissues, including the urethra. In particular, the posterior urethra is frequently injured due to the close anatomical relationship between the urethra and the pelvic ring.

Recognizing this association is essential for proper diagnosis and management. In patients with pelvic fractures who present with visible blood at the urethral meatus or other signs suggesting a potential urethral injury, it is crucial to conduct imaging, such as a retrograde urethrogram, before any attempt to place a urinary catheter. Catheterization in the presence of a urethral injury could lead to further damage and complications.

In contrast, the other statements are either too broad or incorrect regarding the management of genitourinary injuries. Not all patients with microscopic hematuria require further evaluation; the clinical context and associated findings should guide the decision. Intraperitoneal bladder injuries typically necessitate surgical intervention rather than just catheterization. Moreover, urinary catheters should not be placed in every patient with pelvic fractures without evaluating for