Summary of emergency treatment experience of acute severe urethral trauma in pre-pubertal girls.

IF 1.7 3区 医学 Q3 UROLOGY & NEPHROLOGY BMC Urology Pub Date : 2025-03-14 DOI:10.1186/s12894-025-01737-3
Guannan Wang, Ning Sun, Weiping Zhang, Jun Tian, Minglei Li, Hongcheng Song, Defu Lin, Meng He
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引用次数: 0

Abstract

Purpose: To summarize our treatment experience of acute urethral trauma in pre-pubertal girls.

Methods: We retrospectively analyzed six pre-pubertal girls with acute severe urethral trauma who were admitted to our hospital from April 2003 to April 2023 and followed up.

Results: All six patients had pelvic fractures and vaginal injuries, and one had a rectal injury. Five showed a large amount of fresh blood flowing from the perineum and an inability to urinate. However, the remaining patient had a more insidious onset, causing the emergency doctors to miss the diagnosis. Four had severe perineal tearing and had lost their normal urethral and vaginal openings, making urinary catheter insertion impossible. The diagnosis was very clear. The other two were diagnosed with urethrovaginal injury during cystourethroscopy. Five underwent urethral and vaginal repair surgery within 7 days after the injury, and two of them developed complications requiring endoscopy or reoperation. Postoperative questionnaire scoring showed that four patients had normal urinary function and two had mild dysfunction.

Conclusion: The diagnosis of acute urethral injury in girls needs doctors' attention. If the patient's vital signs are stable, urgency urethrovaginal repair surgery can be performed. Although this is difficult and requires experienced pediatric urologists, it facilitates discovery of concurrent injuries.

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来源期刊
BMC Urology
BMC Urology UROLOGY & NEPHROLOGY-
CiteScore
3.20
自引率
0.00%
发文量
177
审稿时长
>12 weeks
期刊介绍: BMC Urology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of urological disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal considers manuscripts in the following broad subject-specific sections of urology: Endourology and technology Epidemiology and health outcomes Pediatric urology Pre-clinical and basic research Reconstructive urology Sexual function and fertility Urological imaging Urological oncology Voiding dysfunction Case reports.
期刊最新文献
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