Abstract
Traumatic genitourinary injuries especially urethral injuries are rare in children. Most of these injuries occur in conjunction with a pelvic fracture after blunt trauma. These injuries call for an immediate diagnosis and appropriate management. Good results have been reported after delayed repair. However, urethral stricture, incontinence and erectile dysfunction are the known complications. We report a traumatic urethral injury causing urethrocutaneous fistula in a seven year boy.
Highlights
Most pediatric urethral injuries are a result of pelvic fractures after high-impact blunt trauma [1]
Acquired urethral fistulas are usually sequelae of neoplasms, trauma, infections or post-surgical [3]
These fistulas may end in the soft tissue of the perineum or open at the perineal skin or the penis itself
Summary
Most pediatric urethral injuries are a result of pelvic fractures after high-impact blunt trauma [1]. Such injuries are becoming more and more common in childhood, especially in developing countries [2]. Case Reports A 7 year-old boy was referred from a peripheral hospital with suprapubic cystostomy in situ. He had history of pelvic trauma 2 months back with pelvic fracture, right thigh fracture and urinary retention. Cystoscopy through the perineal opening revealed many impacted calculi in the fistulous tract, dilated posterior urethra and a large calculus in the bladder.
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