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Urethral substitution with ileum in traumatic bladder neck-vagina fistula

Lavanya Kannaiyan1, Sudipta Sen

  • 1Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu-632 004, India.

Journal of Indian Association of Pediatric Surgeons
|July 31, 2010
PubMed

Insights

A five-year-old girl experienced urinary incontinence after a bladder neck rupture. Surgical repair using ileum for urethral substitution successfully restored normal continence and voiding.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Surgery

Background:

  • Post-traumatic urinary incontinence can result from severe bladder neck injuries.
  • Rupture of the bladder neck into the vagina is a rare but serious complication.

Observation:

  • A five-year-old female patient presented with urinary incontinence following trauma.
  • The trauma resulted in a rupture of the bladder neck extending into the vagina.

Findings:

  • Surgical intervention involved midline exposure with symphysis pubis resection.
  • The procedure included separation of the bladder neck from the vagina.
  • Repair of the bladder neck and urethral substitution with a segment of ileum were performed.

Implications:

  • Successful surgical management restored normal urinary continence.
  • The patient achieved normal voiding function post-operatively.
  • This case highlights the efficacy of reconstructive surgery for complex bladder neck injuries in children.

Keywords:
Ileumrectus muscle flapurethral reconstructionurethrovaginal fistula

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