Paediatric Post-Traumatic Bladder Neck Distraction Injury: Case Series

Isolated complete bladder neck transaction without pelvic fracture in a child: a rare presentation

“…Bladder neck injuries are usually longitudinal in adults while in children transverse bladder neck injuries are common [1]. In our case, it is transverse complete bladder neck transection injury with lateral pelvic force might bea offending cause for such disruption.…”

“…Traditional management of pelvic fracture urethral injury (PFUI) is placement of a suprapubic tube (SPT) and delayed urethroplasty to reconnect the ruptured urethra another approach is Primary endoscopic re-alignment for hemodynamicaly stable patients or advancing a urinary catheter across the posterior urethral ruptures and third approach is primary surgical repair over catheter in early period [1]. In comparison to adults supra pubic catheterization is not recommended in children because of risk of future incontinence and impotence which is more common when it is performed [2].…”

“…About 80% of bladder injuries are associated with pelvic fracture but bladder neck injury without pelvic fracture is rare [1]. We describe an interesting case of complete bladder neck transaction without any associated urethral or pelvic injury in a child which was managed surgically in early post trauma period.…”

Primary repair of pediatric posttraumatic complete bladder neck horizontal transection: Our experience

“…Complete separation of urethra from bladder neck is extremely rare. [ 1 2 3 ] We describe our experience of managing two such patients who had a successful outcome after primary surgical reconstruction.…”

Post traumatic isolated bladder neck transection: Unreported and undescribed injury

“…Bladder neck injuries are well recognized consequences of pelvic fracture related trauma to lower urinary tract. 1 The risk of complete bladder neck distraction injury is more common in children than in adults 2 so specifically addressed in pediatric literature but there is no specific reference to their management in adults. 1 In adults, bladder neck injury is usually longitudinally split.…”