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03:37
Iatrogenic Injury Recapitulated: Electroexcision Technique for Urethral Stricture Modeling in Rats
Published on: October 11, 2024
703
Noniatrogenic Urethral Trauma in Children: A Narrative Review
Rianne J M Lammers1, Tudor Enache2, Sebastien Faraj3
1Department of Urology, University Medical Center Groningen, Groningen, The Netherlands.
European Urology Open Science
|October 27, 2025
Summary
Pediatric urethral trauma research is limited by poor quality and inconsistent reporting. Future studies need standardized definitions and long-term follow-up for reliable treatment and outcome data in children.
Area of Science:
- Pediatric Urology
- Trauma Surgery
- Systematic Review
Background:
- Pediatric urethral trauma management often relies on adult data due to limited specific evidence.
- Accidental urethral injuries in children are rare but require effective treatment strategies.
Purpose of the Study:
- To systematically review management strategies and outcomes for pediatric urethral trauma.
- To evaluate the quality of existing literature on pediatric urethral trauma.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Inclusion of 31 studies published since 1990 with at least five pediatric patients and 3-month follow-up.
- Assessment of methodological quality using the Methodological Index for Nonrandomized Studies (MINORS) tool.
Main Results:
- Evidence quality was low, characterized by retrospective single-center cohorts and inconsistent reporting.
- Open reconstruction was more common than endoscopic management.
- Overall stricture rate was approximately 20%; continence and sexual function outcomes were generally favorable, but data on repeat surgery and quality of life were insufficient.
Conclusions:
- The literature on pediatric urethral trauma suffers from poor quality and inconsistency.
- Recommendations are provided for future research, emphasizing standardized definitions, validated outcome measures, and consistent long-term follow-up.
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