[Injuries of the membraneous urethra in children. 2 case reports and analysis of the literature]

Abstract

Two cases of total disruption of the membraneous urethra in boys, 4 years of age, are reported. This experience and the literature suggest that a totally ruptured urethra should be realigned and the bladder drained by way of a suprapubic cystostomy. Urinary extravasation causes severe pelvic fibrosis with stricture or even closure of the urethra in children. The best procedure for similar adult cases, namely resection of the fibrosis and stricture with direct anastomosis of the intact urethra, is also best in pediatric cases.