TY - JOUR T1 - Delayed exploration and repair to manage pediatric anterior urethral blast injury JF - World Journal of Pediatric Surgery JO - World Jnl Ped Surgery DO - 10.1136/wjps-2020-000167 VL - 3 IS - 3 SP - e000167 AU - Ning Wang AU - Yin Chen AU - Xuedong Wu AU - Xiaodong Lin Y1 - 2020/07/01 UR - http://wjps.bmj.com/content/3/3/e000167.abstract N2 - 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 … ER -