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Case Reports
. 2018 Jan-Mar;34(1):76-78.
doi: 10.4103/iju.IJU_118_17.

Pediatric pelvic fracture urethral distraction defect causing complete urethrovaginal avulsion

Ritesh Kumar Singh  1 , Devashish Kaushal  1 , Nikhil Khattar  1 , Rishi Nayyar  1 , T Manasa  1 , Rajeev Sood  1
Affiliations
Case Reports

Pediatric pelvic fracture urethral distraction defect causing complete urethrovaginal avulsion

Ritesh Kumar Singh et al. Indian J Urol. 2018 Jan-Mar.

Abstract

Pelvic fracture with urethral injury in girls is an uncommon entity that is usually associated with concomitant vaginal lacerations. Management options vary from immediate exploration and urethral anastomosis to delayed urethroplasty. We report our experience of managing a 10-year old girl presenting 6 months after a pelvic fracture with urethrovaginal injury and a completely obliterated urethral meatus managed successfully with a single-stage bladder tube repair.

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Conflict of interest statement

Conflicts of interest: There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a and b) Preoperative cystogram and computed tomography films showing complete obliteration of the urethra beyond the level of bladder neck and communication with proximal obliterated vaginal cavity. (c) Postoperative Micturating CystoUrethrogram at 6-month follow-up
Figure 2
Figure 2
(a and b) Intact bladder neck, obliterated proximal urethra, no communication found with uterus. The vaginal cavity identified communicating with the proximal urethra
Figure 3
Figure 3
(a) Bladder mucosa selected for tubularized free graft. (b) Tube being stitched to the proximal urethra. (c) Distal end of tube being brought down and wrapped with omentum
See this image and copyright information in PMC

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