{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:16:59Z","timestamp":1792106219702,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T00:00:00Z","timestamp":1645315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyse our experience in pelvic fracture urethral injury (PFUI) in children and adolescents, with various anastomotic urethroplasties (AUs) used to accomplish tension\u2010free anastomosis described and their surgical outcomes evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>From 2008 to 2019, 192 cases including both primary and redo PFUI, which comprised 181 boys and 11 girls aged \u226418\u2009years. The results are presented separately according to gender. Moreover, the two populations were divided in two age\u2010related sub\u2010groups for sensitivity analyses: Group 1 (children) aged \u226411\u2009years and Group 2 (adolescent) aged 12\u2013\u226418\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median (interquartile range [IQR]) age at presentation in our series was 14\u2009(9\u201317)\u2009years for boys and 9\u2009(6\u201310)\u2009years for girls. Primary vs redo cases were 85 (47%) vs 96 (53%) in boys and 10\/11 vs one of 11 in girls. In the primary male cases (85), the bulbo\u2010membranous junction was the commonest site of injury (63, 74.1%). In boys, transperineal AU (TPAU) was performed in 160 (88.4%) and transpubic urethroplasty (TPU) in 17 (9.4%). In girls, TPU was utilised in nine cases, where two received meatoplasty and vaginal episiotomy. In boys, the overall success rate for TPAU was 81.2% and in primary PFUI cases success for TPAU was 88.3%. Overall success for TPU was 64.7%. In girls, the success rate for TPU was 100%. In boys and girls, the success rates for various AUs utilised between the child and adolescent groups were comparable. The median (IQR) hospital stay was 3\u2009(3\u20134)\u2009days for boys and girls. The median (IQR) follow\u2010up duration was 25\u2009(16\u201333)\u2009months and 20\u2009(17\u201327)\u2009months for boys and girls, respectively. Secondary procedures were performed in 39 boys and one girl, which comprised laser optical internal urethrotomy in 26 (14.4%) boys and redo surgery in 13 (7.2%) boys and one (9.1%) girl. Of all patients, four of the 11 girls and 74 boys (38.5%) were lost to follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most paediatric PFUI can be addressed via a transperineal approach with reasonable long\u2010term outcomes. In challenging cases salvage procedures utilising vascular\u2010based flaps as a urethral substitute give satisfactory results. Even young children can be managed with a high success rate in expert hands and these injuries should be addressed by specialist reconstructive urologists.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15686","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T06:50:12Z","timestamp":1642575012000},"page":"114-125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Comprehensive analysis of paediatric pelvic fracture urethral injury: a reconstructive centre experience"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3062-0601","authenticated-orcid":false,"given":"Yatam Lakshmi","family":"Sreeranga","sequence":"first","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune 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