Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Division of Pediatric Urology, Department of Surgery, Nemours Children's Health, Wilmington, Delaware, USA.
Can J Urol. 2024 Jun;31(3):11908-11910.
Urethral injuries are rare among the pediatric population, and the majority occur after trauma. This is the case of an eight-year-old female with complete proximal urethral disruption and ruptured bladder neck without pelvic fracture after a motor vehicle crash. After the accident, her bladder neck was reapproximated and a suprapubic tube was placed. Three months later, she underwent reconstruction for a bladder neck closure and appendicovesicostomy. In managing these patients, focus should first be directed at achieving a safe means of urinary drainage, and next to repair the lower urinary tract to maximize continence and minimize complications.
尿道损伤在儿科人群中较为少见，且大多数发生于创伤之后。这是一名 8 岁女性的病例，她在机动车事故后出现完全性近段尿道断裂和膀胱颈部破裂，但没有骨盆骨折。事故发生后，她的膀胱颈部被重新接近，并放置了耻骨上导尿管。3 个月后，她接受了膀胱颈部闭合和阑尾膀胱吻合术的重建。在处理这些患者时，首先应关注安全的导尿方式，其次修复下尿路以最大限度地保持控尿并减少并发症。
