Related Experiment Video
Updated: May 11, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Pediatric anterior urethral injuries: time to take stock]
S Sanson1, Q Ballouhey, O Abbo
1Service de chirurgie viscérale pédiatrique, hôpital des enfants de Toulouse, CHU de Toulouse, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France. sylvain.sanson@hotmail.fr
Insights
Pediatric anterior urethral injuries are rare but manageable. Initial treatment for acute urine retention or bleeding leads to satisfactory outcomes with no long-term complications like stenosis.
Area of Science:
- Pediatric urology
- Trauma surgery
Context:
- Anterior urethral injuries in children are uncommon, with limited literature.
- Existing data primarily focuses on posterior urethral injuries.
Purpose:
- To review the initial management of pediatric anterior urethral injuries.
- To analyze outcomes based on clinical experience and literature data.
Summary:
- A retrospective study analyzed seven pediatric patients with anterior urethral trauma.
- Presentations included acute urine retention and urethral bleeding.
- Management involved endoscopic realignment, urinary diversion, or conservative treatment, with positive outcomes.
Impact:
- Appropriate initial management of pediatric anterior urethral trauma leads to favorable outcomes.
- Clinical and uroflowmetry follow-up is crucial for monitoring patients.
Introduction:
Anterior urethral injuries are a rare entity in the pediatric age group. Data of the literature are limited to the injuries of the posterior urethra. The aim of this study was to take stock of the initial management of this disease, from our experience and data of the literature.
Patients And Methods:
A literature review and a retrospective study were conducted. We used our department database to find all the patients treated for anterior urethral injuries at the Children's Hospital of Toulouse between 2000 and 2011. Data on patients with trauma of the anterior urethra were analysed.
Results:
Among the 13 patients treated for urethral injuries, seven patients had trauma to the anterior urethra. The initial symptom was an acute retention of urine in three cases (43%) and urethral bleeding in six cases (85%). All patients with acute retention of urine had emergency management consisting in endoscopic realignment and urinary diversion by suprapubic catheter. Patients with hematuria were treated with paracetamol and non-steroidal anti-inflammatory. After a mean follow-up of 507 days (332-893), none had dysuria and no posttraumatic stenosis has been demonstrated in uroflowmetry.
Conclusion:
In our experience, the trauma of the anterior urethra of the child had a satisfactory development through appropriate management. Clinical and uroflometry follow-up is necessary.
Related Concept Videos
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
01:25Urinary Tract Calculi VI: Surgical Management
01:30Urinary Tract Calculi III: Medical Management
01:28Urinary Tract Calculi V: Nursing Management
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
01:21Nursing Assessment of the Genitourinary System I: Health History