Surgical findings. A midline incision of the lower abdomen was made and the incision was extended through a front of the pubic symphysis to the left thigh. A bladder laceration was found in the inferior margin of the pubic symphysis. Partial laceration of the left femoral adductor muscle at the pubic insertion and an urinoma extending from the anterior surface of the pubic bone to the left thigh were observed. The wall of the urinoma had changed to glossy membranous tissue with a flat smooth surface.