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Clinical image
Delayed exploration and repair to manage pediatric anterior urethral blast injury
  1. Ning Wang1,
  2. Yin Chen2,
  3. Xuedong Wu1 and
  4. Xiaodong Lin3
  1. 1Department of Pediatric Surgery, the First Affiliated Hospital, Dali University, Dali, China
  2. 2Department of Clinic, the First Affiliated Hospital, Dali University, Dali, China
  3. 3Department of Medical Imaging, the First Affiliated Hospital, Dali University, Dali, China
  1. Correspondence to Dr Ning Wang; wn20153240{at}163.com

https://doi.org/10.1136/wjps-2020-000167

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    The major cause of pediatric anterior urethral injuries (AUIs) is blunt trauma.1 2 Penetrating injuries caused by explosive trauma are rare in pediatric patients. Both early and delayed urethral repairs are optional strategies to manage AUIs. Studies from clinical management of blunt trauma have concluded rich experiences. However, poor experiences can be used to manage explosive AUIs. In this case, a 7-year-old boy threw a detonator into the fire. His external genitalia and bilateral medial region of the thigh were injured in a sudden explosion. Corpus spongiosum penis was covered by incomplete prepuce. Splintered glans penis with high-degree edema concealed the urethral meatus. The swollen testis was detected in the tattered scrotum. Muscular layer was included in explosive injuries of the bilateral thigh (figure 1). Surgical debridement was performed urgently. It was difficult to identify the …

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