Traumatic avulsion of the lower urinary tract in the female child.
We report a rare case of complete avulsion of the proximal urethra from the bladder neck and a urethrovaginal fistula secondary to blunt pelvic injury in a girl. The management consisted of a relatively simple first stage procedure, suprapubic cystostomy, followed 6 months later by transpubic repair of the defect. The child is continent and free of urethral obstruction 10 months postoperatively.
D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000293:injuries; D014521:Urethra / Q000293:injuries*; D014548:Urinary Fistula / Q000209:etiology; D014567:Urography; D014621:Vagina / Q000293:injuries; D014624:Vaginal Fistula / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging*