Complete bulbar urethral transection with penile fracture after a gunshot injury in a child; a rare and challenging case

Autor: Amila De Silva, Sajeevan Pramananthan, Jithmal Meegoda
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Urology Case Reports, Vol 40, Iss , Pp 101888- (2022)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2021.101888
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.
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