Urethral trauma in children |
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Authors: | A J A Holland R C Cohen K M F McKertich D T Cass |
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Institution: | (1) Department of Surgical Research, The New Children's Hospital, Royal Alexandra Hospital for Children, PO Box 3515, Parramatta, NSW, 2124, Australia, AU;(2) Department of Paediatric Urology, The New Children's Hospital, Royal Alexandra Hospital for Children, PO Box 3515, Parramatta, NSW 2124, Australia, AU |
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Abstract: | We report our 12-year experience in the management of urethral injuries in nine children, six boys and three girls. The most
common mechanisms of injury were motor vehicle accidents, followed by straddle injuries. All the injuries in boys involved
the anterior urethra, and in girls the proximal or mid-urethra. There were associated injuries in five, including three pelvic
fractures. All children were investigated with a retrograde urethrogram. Four were treated non-operatively with insertion
of a urethral catheter. Of the remaining five, one had drainage of a penile haematoma, one cystourethroscopy, two insertion
of urinary and suprapubic catheters, and one open cystotomy and passage of a guide wire with antegrade passage of a urethral
catheter. Complications included one urinary tract infection, one urethral fistula, one urethrovaginal fistula, and two urethral
strictures. Final outcome was satisfactory in all nine children.
Accepted: 3 February 2000 |
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Keywords: | Urethral trauma Pelvic fracture |
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