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Pelvic-fracture urethral injury in children
- Source :
- Arab Journal of Urology
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- Objective To review paediatric posterior urethral injuries and the current potential management options; because urethral injury due to pelvic fracture in children is rare and has a low incidence, the management of this type of trauma and its complications remains controversial. Methods We reviewed previous reports identified by searching the PubMed Medline electronic database for clinically relevant articles published in the past 25 years. The search was limited to the keywords ‘pediatric’, ‘pelvic fracture’, ‘urethral injury’, ‘stricture’, ‘trauma’ and ‘reconstruction’. Results Most paediatric urethral injuries are a result of pelvic fractures after high-impact blunt trauma. After the diagnosis, immediate bladder drainage via a suprapubic cystotomy, or urethral realignment, are the initial management options, except for a possible immediate primary repair in girls. The common complications of pelvic fracture-associated urethral injury include urethral stricture formation, incontinence and erectile dysfunction. Excellent results can be achieved with delayed urethroplasty for pelvic fracture-associated urethral injuries. Conclusion Traumatic injury to the paediatric urethra is rare and calls for an immediate diagnosis and management. These devastating injuries have a high complication rate and therefore a close follow-up is warranted to assure adequate delayed repair by a reconstructive urologist.
- Subjects :
- Urethral injury
medicine.medical_specialty
Special Issues of PFUI Review
VCUG, voiding cysto-urethrography
Injury control
Urology
Poison control
Injury
Pelvis
Urethra
Injury prevention
Medicine
ED, erectile dysfunction
PFUI, pelvic fracture-associated urethral injury
business.industry
US, ultrasonography
Incidence (epidemiology)
RUG, retrograde urethrography
medicine.disease
Surgery
medicine.anatomical_structure
Paediatric
Pelvic fracture
Reconstruction
business
Subjects
Details
- ISSN :
- 2090598X
- Volume :
- 13
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Arab Journal of Urology
- Accession number :
- edsair.doi.dedup.....76fcf16bae6a235e5a3aebebe800bef0
- Full Text :
- https://doi.org/10.1016/j.aju.2014.11.007