Sarcouncil Journal of Medical Series

Abstract: This research investigates the significance of Magnetic Resonance Imaging (MRI) in determining and managing the ushers of Pelvic Fracture Urethral Injuries, which is a complex and debilitating condition caused primarily by traumatic pelvic fractures. This study was conducted at the Diyala Hospital in Iraq, starting from 2022 until 2024, inclusively involving 120 patients over 30 years of age, whereby an association with PFUI after pelvic trauma was diagnosed. To ascertain the effectiveness of MRI as an imaging modality in characterizing urethral defects, associated soft-tissue injuries, and surgical planning and outcome, a comparison of efficacy was made. Demographics such as age, height, weight, BMI, diet, other comorbidities, and so on were collected for purposes of identification with of the risk factors contributing to various treatment modalities. The MRI images were meticulously scrutinized to find the length and site of the defects in the urethra, the extent of tissue injury, and differentiation into partial and complete ruptures of the urethra. The results indicated that MRI had a significantly higher sensitivity in detecting soft tissue injuries and occult pelvic stress fractures, which mostly conventional imaging would miss. The MRI study shows a marked improvement in the functional outcome of patients and a concomitant reduction in complications following surgery, e.g., infection, stricture formation, or recurrence of injury. Outcome measures were evaluated using the SF-36 for patient outcomes, which proved that MRI-enhanced surgical interventions improved the quality of life of the patients. Logistic multiple regressions established some risk factors that could be associated with poor outcomes: age, BMI, herniated pelvic fracture, and length of injury in terms of urethral injury. These reinforce the important role played by MRI in a holistic approach to the management of patients presenting with PFUI from diagnosis to surgical planning and postoperative care. The study stands to recommend using MRI in general diagnostic protocols for PFUI given the non-invasiveness and precision of MRI and an enhanced outcome in surgery. This is an addition to the growing voices that advocate for the use of modern imaging in urological trauma and opens up avenues for further studies to develop standardized MRI protocols for PFUI. MRI provides the best details about urethral defects and soft tissue injuries, so it is going to improve surgical planning and outcomes. And we conclude from this that MRI is required for accurate diagnosis, for effective surgical planning, and for enhancing patient recovery in PFUI cases