Construction of neourethra using flipped anterior bladder wall tube in a prepubertal girl with complete disruption of urethra.
A rare case of urethral construction using flipped anterior bladder wall tube in an 8-year-old girl with complete disruption of the urethra and vagina accompanying pelvic fracture was reported. Following a split of the pubic symphysis, the vagina was reconstructed with end-to-end anastomosis. The neourethra was constructed tubularizing and flipping anterior bladder wall flap caudally to proximal site of the original urethra after fascial sling procedure. After catheter removal, this girl has been continent and voided normally. In conclusion, flipped anterior bladder wall tube technique for urethral construction is suitable in prepubertal girls with complete disruption of the urethra.
Department of Urology, Hokkaido University, Graduate School of Medicine, Sapporo, 060-8638, Japan. mitsui68@med.hokudai.ac.jp
Takahiko
T
Mitsui
Hiroshi
H
Tanaka
Kimihiko
K
Moriya
Hidetaka
H
Suzuki
Gaku
G
Mouri
Akiyoshi
A
Hashimoto
Katsuya
K
Nonomura
D002648:Child; D005260:Female; D006801:Humans; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D001743:Urinary Bladder / Q000637:transplantation*; D013520:Urologic Surgical Procedures / Q000379:methods