Complete bulbar urethral transection with penile fracture after a gunshot injury in a child; a rare and challenging case
| Autor: | Sajeevan Pramananthan, Amila De Silva, Jithmal Meegoda |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
endocrine system Gunshot injury Urethral stricture business.industry Urology Penile fracture GUNSHOT INJURY Anastomosis Urethral transection medicine.disease Pediatrics Diseases of the genitourinary system. Urology Surgery Tunica albuginea (ovaries) Catheter medicine RC870-923 Bulbar urethra business |
| Zdroj: | Urology Case Reports, Vol 40, Iss, Pp 101888-(2022) Urology Case Reports |
| ISSN: | 2214-4420 |
| Popis: | Urethral injuries are infrequent, and management is challenging. We present a case of urethral transection associated with a penile fracture following gunshot injury. During the initial exploration complete urethral transection revealed with a bleeding penile fracture. With the use of an antegrade guidewire and a catheter, urethral ends aligned, and penile fracture repaired with suturing the tunica albuginea. Post-surgery urethrogram revealed stricture formation at bulbar urethra and detail of a gunshot injury was disclosed. Delayed stricture excision and end-to-end anastomosis was achieved, resulting in satisfactory urethral and penile functions. Highlights • Traumatic complete urethral transections with penile fracture in children are extremely rare and management is challenging. • Application of a suprapubic catheter without disturbing the urethral injury is recommended for urethral transection, but no recommendation if it is a complete transection and associates with bleeding penile fracture. • Post-surgical urethrogram is important to identify stricture formation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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