Utilising anterolateral bladder flap to create a continent cutaneous diversion in a patient with pelvic fracture urethral injury

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A male child in the first decade of life presented to us with a history of a pelvic fracture and urethral injury resulting from a road traffic accident 4 months prior. He had previously undergone an exploratory laparotomy and suprapubic cystostomy at another medical centre. He was circumcised and exhibited a substantial urethral defect on the retrograde urethrogram, as well as on the micturating cystourethrogram. Following a careful assessment of the patient's and caregivers' expectations, a continent cutaneous catheterisable channel was planned. This procedure involved the use of an anterolateral bladder flap, and continence was achieved through the creation of a Nissen-type seromuscular invagination. Three months postoperatively, the child remains continent, can easily catheterise the stoma and has resumed his education.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

BMJ case reports - 16(2023), 11 vom: 02. Nov.

Sprache:

Englisch

Beteiligte Personen:

Anand, Madhur [VerfasserIn]
Kumar, Abhijeet [VerfasserIn]
Yadav, Jitender [VerfasserIn]
Goel, Apul [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Journal Article
Urological surgery
Urology

Anmerkungen:

Date Completed 06.11.2023

Date Revised 08.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2023-258361

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364108215