Open Access

RESIDENT’S CORNER

Complete urethral disruption after motor vehicle crash without pelvic fracture

Maria J. D’Amico¹, Jennifer A. Hagerty²

1 Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
2 Division of Pediatric Urology, Department of Surgery, Nemours Children's Health, Wilmington, Delaware, USA
Address correspondence to Dr. Jennifer A. Hagerty, Division of Pediatric Urology, Department of Surgery, Nemours Children’s Health, 1600 Rockland Road, Wilmington, DE 19803 USA

Canadian Journal of Urology 2024, 31(3), 11908-11910.

Abstract

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.

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