Treatment outcomes of pediatric urethral trauma and urethral injuries at Viet Duc University Hospital
Main Article Content
Abstract
A retrospective study was conducted on 32 pediatric patients diagnosed with urethral trauma or urethral injury at Viet Duc University Hospital between January 2017 and December 2024, aiming to describe the clinical characteristics, paraclinical findings, and treatment outcomes. The patients’ mean age was 10.34 ± 3.92 years old. The predominant cause was traffic accidents (68.8%). Clinical manifestations included urinary retention (85.2%) and blood at the urethral meatus (29.6%). Antegrade and/or retrograde urethrocystography was the gold standard for diagnosis. 59.4% of injuries were at the posterior urethral. End-to-end urethral anastomosis was the primary treatment modality, with a success rate of 52.4%. Common post-treatment complications included urethral stricture urinary incontinence. Urethral trauma and urethral injuries in children are rare and complex conditions; therefore, diagnosis and management at specialized centers by experienced surgeons are crucial to minimize complications.
Article Details
Keywords
Pediatric urethral trauma, pediatric urethral injury
References
2. Tarman GJ, Kaplan GW, Lerman SL, McAleer IM, Losasso BE. Lower genitourinary injury and pelvic fractures in pediatric patients. Urology. 2002;59(1):123-126; discussion 126. doi:10.1016/s0090-4295(01)01526-6
3. Pichler R, Fritsch H, Skradski V, et al. Diagnosis and management of pediatric urethral injuries. Urol Int. 2012;89(2):136-142. doi:10.1159/000336291
4. Chapple CR. Urethral injury. BJU Int. 2000;86(3):318-326. doi:10.1046/j.1464-410x.2000.00101.x
5. Holland AJ, Cohen RC, McKertich KM, Cass DT. Urethral trauma in children. Pediatr Surg Int. 2001;17(1):58-61. doi:10.1007/s003830000438
6. Hafez AT, El-Assmy A, Sarhan O, El-Hefnawy AS, Ghoneim MA. Perineal anastomotic urethroplasty for managing post-traumatic urethral strictures in children: the long-term outcome. BJU Int. 2005;95(3):403-406. doi:10.1111/j.1464-410X.2005.05309.x
7. Patel DN, Fok CS, Webster GD, Anger JT. Female urethral injuries associated with pelvic fracture: a systematic review of the literature. BJU Int. 2017;120(6):766-773. doi:10.1111/bju.13989
8. Sunay M, Karabulut A, Dadalı M, Bağbancı S, Emir L, Erol D. Single-institution outcomes of open reconstruction techniques for management of pediatric and adolescent post-traumatic urethral strictures. Urology. 2011;77(3):706-710. doi:10.1016/j.urology.2010.07.476
9. Singla M, Jha MS, Muruganandam K, et al. Posttraumatic posterior urethral strictures in children--management and intermediate-term follow-up in tertiary care center. Urology. 2008;72(3):540-543; discussion 543-544. doi:10.1016/j.urology.2008.02.078
10. Onen A, Subasi M, Arslan H, Ozen S, Basuguy E. Long-term urologic, orthopedic, and psychological outcome of posterior urethral rupture in children. Urology. 2005;66(1):174-179. doi:10.1016/j.urology.2005.01.056