Long-term urologic, orthopedic, and psychological outcome of posterior urethral rupture in children

Transpubic Urethroplasty for Complex Posterior Urethral Strictures: A Single Center Experience

“…We had 7 children and 12 adults. Children more often develop complex strictures following trauma in comparison to adults because of the rudimentary prostate and underdeveloped puboprostatic ligaments [2,14] . We found the procedure to be easy in children who have pliable bone in comparison to adults.…”

Urethral trauma. Part II: Types of injury and their management

“…Thirdly, PFUIs are more difficult to repair because the anterior urethra is relatively underdeveloped and less able to stretch. And fourthly, because incontinence and ED are commoner and the prognosis in these areas has to be more guarded until the child is past puberty [113][114][115][116][117][118].…”

Risk factors associated with bladder and urethral injuries in female children with pelvic fractures

“…BUI was identified in 81 patients (3%). Patients with BUI had a significantly higher median ISS compared with those without BUI (25 [IQR, [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] vs. 13 [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22], p < 0.001).…”

“…[3][4][5][6][7][8][9][10][11] Patients with these injuries often need multiple urologic procedures and experience long-term sexual and psychological dysfunction. [12][13][14][15][16][17] Several authors have suggested that children with pelvic fractures are more susceptible to BUI because the low urinary tract is in a relatively more superior position in the abdomen and therefore less protected from injury. 11,18 While bladder injuries are uncommon regardless of sex, urethral injuries are seen less frequently in females compared with males.…”