**Core Concept**
Bulbar urethral rupture refers to the laceration or disruption of the membranous part of the urethra, which is located within the bulbar region of the penis. This injury often results from direct trauma, such as straddle injuries or pelvic fractures, leading to hemorrhage and urinary incontinence.

**Why the Correct Answer is Right**
Bulbar urethral rupture is characterized by the presence of blood at the urethral meatus, perineal hematoma, and difficulty initiating urination. The injury typically occurs due to the transmission of force from the pelvic floor to the membranous urethra, causing a laceration. This results in extravasation of urine into the surrounding tissues, leading to swelling and hematuria.

**Why Each Wrong Option is Incorrect**
**Option A:** This statement might be true, but it's not specific to bulbar urethral rupture, as other urethral injuries can also present with blood at the urethral meatus.
**Option B:** This statement is true for bulbar urethral rupture, as the injury often results in perineal hematoma due to the extravasation of blood into the surrounding tissues.
**Option C:** This statement is true for bulbar urethral rupture, as the injury can cause difficulty initiating urination due to the disruption of the urethral lumen.

**Clinical Pearl / High-Yield Fact**
A high index of suspicion for bulbar urethral rupture should be maintained in patients with a history of pelvic trauma, as early diagnosis and treatment can prevent long-term complications, such as urethral stricture and incontinence.

**Correct Answer: A.**