Turkish Journal of Pediatric Surgery

Mehmet Kaba1, Sinan Kılıç2, İlhan Gecit3

1Department of Urology, Gebze Yüzyıl Hospital, Kocaeli, Türkiye
2Department of Pediatric Surgery, Gebze Yüzyıl Hospital, Kocaeli, Türkiye
3Department of Urology, Van Yüzüncü Yıl University Faculty of Medicine, Van, Türkiye

Keywords: Child, cystofix catheter, trauma, urethral injury, urethrotomy.


Objectives: This study aimed to evaluate posttraumatic urethral injuries treated at two centers and evaluate the findings in light of the existing literature.

Patients and methods: The records of 14 male patients (mean age: 10.2±2.9 years; range, 4 to 13 years) who underwent treatment for urethral trauma between 2010 and 2015 at the first clinic and between 2017 and 2022 at the second clinic were retrospectively analyzed. Variables including age, sex, etiology of trauma, location of urethral injury, presence of associated injuries, surgical interventions performed, and treatment outcomes were systematically assessed.

Results: Motor vehicle accidents emerged as the most frequent cause of injury with eight (57.1%) patients. Urethral injuries were observed in seven patients at the bladder neck, six at the posterior urethra, and one at the anterior urethra. Two patients sustained complete injuries, whereas partial injuries were identified in the remaining 12 cases. All patients initially received either a cystofix catheter or a urethral catheter. Two patients underwent open urethroplasty, while internal urethrotomy was performed in 10 patients. Two patients experienced spontaneous recovery without the need for surgical intervention. The patients achieved complete recovery from their initial presentation.

Conclusion: Although open repair of urethral injuries may offer a lower risk of recurrence, delayed internal urethrotomy, which is a less invasive approach, should be considered the primary treatment choice in children.

Citation: Kaba M, Kılıç S, Gecit İ. Evaluation of urethral traumas in children: A retrospective analysis. Turkish J Ped Surg 2024;38(1):1-6. doi: 10.62114/ JTAPS.2024.3.

Ethics Committee Approval

The study protocol was approved by the Medipol University Faculty of Medicine, Non-Interventional Clinical Research Ethics Committee (date: 17.07.2023, no: E-10840098-772.02-4211). The study was conducted in accordance with the principles of the Declaration of Helsinki.

Author Contributions

Idea/concept, data collection and/or processing; analysis and/or interpretation: M.K., S.K., İ.G.; Design,control/supervision, literature review: M.K., S.K., Writing the article: S.K.; Critical review: S.K., İ.G.; References and fundings, materials: N/A.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.