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Clinical features: • Blood at the urethral meatus. • Gross hematuria. • Urgent need to urinate (suprapubic pain) yet inability to do so. • Anterior urethral injury may lead to blood accumulating under the scrotum. • Posterior injury may lead to blood accumulating under the perineum.
Diagnosis: retrograde urethrography.
Treatment: • Suprapubic catheterization • Transurethral catheterization (foley's catheter) is a relative contraindication and may sometimes be tried once by an experienced practitioner to allow the urethral epithelium to heal around it. • The definitive treatment is surgical repair, delayed (if blunt trauma) or immediate (if penetrating).
Clinical features: • Blood at the urethral meatus. • Gross hematuria. • Urgent need to urinate (suprapubic pain) yet inability to do so. • Anterior urethral injury may lead to blood accumulating under the scrotum. • Posterior injury may lead to blood accumulating under the perineum.
Diagnosis: retrograde urethrography.
Treatment: • Suprapubic catheterization • Transurethral catheterization (foley's catheter) is a relative contraindication and may sometimes be tried once by an experienced practitioner to allow the urethral epithelium to heal around it. • The definitive treatment is surgical repair, delayed (if blunt trauma) or immediate (if penetrating).
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To pay the bills, Mr. Durov is issuing investors $1 billion to $1.5 billion of company debt, with the promise of discounted equity if the company eventually goes public, the people briefed on the plans said. He has also announced plans to start selling ads in public Telegram channels as soon as later this year, as well as offering other premium services for businesses and users.
For some time, Mr. Durov and a few dozen staffers had no fixed headquarters, but rather traveled the world, setting up shop in one city after another, he told the Journal in 2016. The company now has its operational base in Dubai, though it says it doesn’t keep servers there.Mr. Durov maintains a yearslong friendship from his VK days with actor and tech investor Jared Leto, with whom he shares an ascetic lifestyle that eschews meat and alcohol.
