Citation

Holland AJ, Cohen RC, McKertich KM, Cass DT. Pediatr. Surg. Int. 2001; 17(1): 58-61.

Affiliation

Department of Surgical Research, The New Children's Hospital, Royal Alexandra Hospital for Children, Parramatta, NSW, Australia.

Copyright

(Copyright © 2001, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

11294271

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.

Language: en