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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 .
Insights
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.
Abstract:
The bladder neck distraction is a rare posterior urethral injury in paediatric age group. It mostly occurs secondary to road traffic accidents. We report three cases of paediatric bladder neck distraction injury. Three paediatric patients aged between 4 to 7 years (mean 5 year), who presented with post traumatic bladder neck distraction injury but no other major injury, they were treated with early urethro-vesical anastomosis. Postoperatively all patients were continent and with good urine flow rates. In paediatric bladder neck distraction injury, immediate urethro-vesical anastomosis gives good results.
