It is prospective randomized comparative clinical trial comparing primary urethral realignment vs. suprapubic cystostomy in initial management of pediatric pelvic fracture urethral injury regarding: 1. The success rate after initial intervention. 2. The need for urethroplasty in the failed realignment group and cystostomy group. 3. The success rate of urethroplasty in the failed realignment group and cystostomy group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
42
Endoscopic realignment of rupture urethra over a urethral catheter
Percutaneous cystostomy catheter will be inserted under sonographic guidance
The success rate after initial intervention (realignment or suprapubic cystostomy).
The fulfillment of success criteria after initial intervention which includes good stream, no postvoid residual urine, normal Qmax for age and free retrograde urethrogram
Time frame: 3 months after initial intervention.
The success rate of urethroplasty in both groups.
The surgical outcome of urethroplasty in cases of children with posterior urethral stricture after failed realignment or suprapubic cystostomy.
Time frame: 3 months after urethroplasty.
The need for urethroplasty in both groups.
Comparison of the need for urethroplasty in children with failed realignment or suprapubic cystostomy.
Time frame: 3 months after initial intervention
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.