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Paediatric Post-Traumatic Bladder Neck Distraction Injury: Case Series.
Ajit S Sawant1, Lomesh A Kapadnis2, Vikash Kumar3
1Professor and Head, Department of Urology, Lokmanya Tilak Municipal Medical College and Hospital , Mumbai, Maharashtra, India .
Journal of Clinical and Diagnostic Research : JCDR
|April 8, 2017
Summary
Bladder neck distraction injuries in children are rare, often caused by accidents. Early urethro-vesical anastomosis surgery resulted in good outcomes, with patients achieving continence and strong urine flow.
Area of Science:
- Pediatric Urology
- Trauma Surgery
- Reconstructive Surgery
Background:
- Bladder neck distraction is a rare posterior urethral injury in children.
- Road traffic accidents are the most common cause of this injury.
Purpose of the Study:
- To report on the outcomes of treating pediatric bladder neck distraction injuries.
- To evaluate the effectiveness of early urethro-vesical anastomosis.
Main Methods:
- Retrospective review of three pediatric cases (ages 4-7) with bladder neck distraction.
- Treatment involved early urethro-vesical anastomosis.
Main Results:
- All three patients achieved urinary continence post-surgery.
- Patients demonstrated good urine flow rates after the procedure.
Conclusions:
- Early urethro-vesical anastomosis is an effective treatment for pediatric bladder neck distraction injuries.
- This approach leads to favorable functional outcomes in young patients.