A 34-year-old man is admitted to the emergency room after falling from a motorcycle at high speed. According to witnesses, the patient collided directly with the vehicle’s fuel tank before being thrown to the ground. Upon arrival, he presents with intense pain in the perineal region, progressive penoscrotal edema, and inability to urinate. During the initial assessment, urethrorrhagia is noted from the urethral meatus.
On physical examination, an extensive “butterfly wing” perineal hematoma is observed, along with marked tenderness to palpation of the bulbar urethra and slight suprapubic distension. Vital signs remain stable.
Would you insert a urinary catheter in this patient?
What procedure is being performed on the image?
What is the diagnosis?