{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:28:11Z","timestamp":1790908091398,"version":"4.1.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"vor","delay-in-days":243,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Most pediatric urethral injuries are a result of pelvic fracture after high-impact blunt trauma, mainly due to motor vehicle accidents. The management of urethral injuries depends on if the rupture is complete or partial as well as the timing of surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of cases:<\/jats:title>\n                    <jats:p>Three male children with urethral trauma caused by motor vehicles accidents are presented in this article. Preoperative suprapubic catheterization was initially carried out in all patients. Each patient then received one of three different techniques during the deferred time to surgical intervention: anterior sagittal transanorectal approach (ASTRA) for end-to-end urethral anastomosis, perineal approach for urethroplasty using buccal mucosa, and urethroplasty with preputial skin flap. The three techniques were successfully performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>In the initial management suprapubic cystostomy has been a good solution in urgent situations. Deferred urethroplasty is the procedure of choice for the definite treatment of posterior urethral distraction defects. The anterior sagittal transanorectal approach provides excellent exposure of the posterior urethra and retrovesicular region, and allows the surgeon to perform dissection under direct vision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It's very important for the pediatric urologist to be familiar with the different techniques available in order to choose the best approach for each particular patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.08.062","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T13:46:02Z","timestamp":1504878362000},"page":"85-89","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Management of traumatic urethral injuries in children using different techniques"],"prefix":"10.1097","volume":"40","author":[{"given":"Ricardo Torres da Silveira","family":"Ugino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzane","family":"Pasqual","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adria Karina","family":"Farias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre Ivan Bradley","family":"dos Santos Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Stratigis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno Pinheiro","family":"Falc\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f4nio Carlos","family":"Amarante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Stegani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angelo","family":"Agulham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Girardi","family":"Fachin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-22-20260114","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/01241398-200107000-00006","article-title":"Analysis of the cause classification, and associated injuries of 166 consecutive pediatric pelvic fractures","volume":"21","author":"Silber","year":"2001","journal-title":"J. Pediatr. Orthop"},{"key":"R2-22-20260114","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/S0022-3468(96)90324-3","article-title":"Death from pelvic fracture: children are different","volume":"31","author":"Ismail","year":"1996","journal-title":"J. Pediatr. Surg"},{"key":"R3-22-20260114","first-page":"123","article-title":"Lower genitourinary injury and pelvic fractures in pediatric patients","volume":"59","author":"Tarman","year":"2002","journal-title":"Pediatr. Urol"},{"key":"R4-22-20260114","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.jpurol.2008.01.209","article-title":"Post-traumatic posterior urethral stricture in children: how to achieve a successful repair","volume":"4","author":"Orabi","year":"2008","journal-title":"J. Pediatr. Urol"},{"key":"R5-22-20260114","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1111\/j.1464-410X.2011.10340.x","article-title":"Urethral trauma. Part II: types of injuries and their management","volume":"180","author":"Mundy","year":"2011","journal-title":"BJU Int"},{"key":"R6-22-20260114","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1097\/01.ju.0000152145.33215.36","article-title":"The treatment of posterior urethral disruption associated with pelvic fractures: comparative experience of early realignment versus delayed urethroplasty","volume":"173","author":"Mouraviev","year":"2005","journal-title":"J. Urol"},{"key":"R8-22-20260114","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/S0022-5347(01)65571-X","article-title":"Pelvic fracture urethral injuries: evaluation of various methods of management","volume":"156","author":"Koraitim","year":"1996","journal-title":"J. Urol"},{"key":"R9-22-20260114","first-page":"1","article-title":"Reconstruction of the male urethra in strictures: application of the buried intact epithelium technic","volume":"176","author":"Johanson","year":"1953","journal-title":"Acta Chir. Scand"},{"key":"R10-22-20260114","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1111\/j.1464-410x.2004.04805.x","article-title":"Consensus statement on urethral trauma","volume":"93","author":"Chapple","year":"2004","journal-title":"BJU Int"},{"key":"R11-22-20260114","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1111\/j.1464-410X.1975.tb03922.x","article-title":"The technique and results of one-stages island patch urethroplasty","volume":"47","author":"Blandy","year":"1976","journal-title":"Br. J. Urol"},{"key":"R12-22-20260114","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/S0022-5347(17)37340-8","article-title":"The buccal mucosal graft for urethral reconstruction: a premilinary report","volume":"147","author":"B\u00fcrger","year":"1992","journal-title":"J. Urol"},{"key":"R13-22-20260114","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1159\/000341138","article-title":"Urethral reconstruction using buccal mucosa or penile skin grafts: systematic review and meta-analysis","volume":"89","author":"Lumen","year":"2012","journal-title":"Urol. Int"},{"key":"R14-22-20260114","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1016\/j.eururo.2008.07.052","article-title":"What is the best technique for urethroplasty?","volume":"54","author":"Andrich","year":"2008","journal-title":"Eur. Assoc. Urol"},{"key":"R15-22-20260114","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1111\/j.1464-410X.2003.04860.x","article-title":"Buccal mucosal urethroplasty: is it the new gold standard?","volume":"93","author":"Bhargava","year":"2004","journal-title":"BJU Int"},{"key":"R16-22-20260114","first-page":"179","article-title":"Oral mucosa harvest: an overview of anatomic and biologic considerations","volume":"5","author":"Markiewicz","year":"2007","journal-title":"Eur. Assoc. Urol"},{"key":"R17-22-20260114","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.juro.2007.03.094","article-title":"The oral mucosa graft: a systematic review","volume":"178","author":"Markiewicz","year":"2007","journal-title":"J. Urol"},{"key":"R18-22-20260114","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1097\/01.ju.0000132846.01144.9f","article-title":"The morbidity of buccal mucosal graft harvest for urethroplasty and the effect of nonclosure of the graft harvest site on postoperative pain","volume":"172","author":"Wood","year":"2004","journal-title":"J. Urol"},{"key":"R19-22-20260114","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1111\/bju.12361","article-title":"Single-stage preputial skin flap urethroplasty for long-segment urethral strictures: evaluation and determinants of success","volume":"113","author":"Mathur","year":"2014","journal-title":"BJU Int"},{"key":"R20-22-20260114","doi-asserted-by":"crossref","first-page":"366","DOI":"10.4103\/0970-1591.36706","article-title":"Preputial skin free graft as dorsal onlay urethroplasty: our experience of 73 patients","volume":"23","author":"Bapat","year":"2007","journal-title":"Indian J. Urol"},{"key":"R21-22-20260114","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/S0022-3468(97)90012-9","article-title":"Anterior sagittal transanorectal approach to the urogenital sinus in adrenogenital syndrome: preliminary report","volume":"32","author":"D\u00f2mini","year":"1997","journal-title":"J. Pediatr. Surg"},{"key":"R22-22-20260114","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/S0022-5347(01)65371-0","article-title":"The anterior sagittal transanorectal approach: a modified approach to 1-stage clitoral vaginoplasty in severely masculinized female pseudohermaphrodites - preliminary results","volume":"157","author":"Di Benedetto","year":"1997","journal-title":"J. Urol"},{"key":"R23-22-20260114","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.ijscr.2013.05.013","article-title":"Anterior sagittal approach without splitting the rectal wall","volume":"4","author":"Torii","year":"2013","journal-title":"Int. J. Surg. Case Rep"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217304546?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217304546?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201740000-00022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:09:13Z","timestamp":1768396153000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201740000-00022"}},"subtitle":["A case series and review of literature"],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":22,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2017.08.062","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}