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Figure 2: Traumatic amputation of proximal urethra (TAPU). The anterior bladder mucosa has been mobilized off the superior pubic rami and is held gently in an Allis clamp (block arrow). The large fistula was a Type IIBb, involving both the continence mechanism and complete detachment of the urethra from the anterior and posterior bladder mucosa, is demonstrated by tissue forceps (thin arrow). Picture by Sharon Knight, MD. |