Long-term urologic, orthopedic, and psychological outcome of posterior urethral rupture in children

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dc.contributor.authorOnen, A
dc.contributor.authorSubasi, M
dc.contributor.authorArslan, H
dc.contributor.authorOzen, S
dc.contributor.authorBasuguy, E
dc.date.accessioned2024-04-24T16:18:34Z
dc.date.available2024-04-24T16:18:34Z
dc.date.issued2005
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives. To evaluate the long-term urologic, orthopedic, and psychological outcome of children after posterior urethral rupture (PUR) due to pelvic trauma. Methods. We retrospectively reviewed the records of 49 children with PUR from 1986 to 2000. The long-term urologic results were determined by voiding function, continence, and erectile function. The orthopedic results were determined by pelvic radiography and a questionnaire. Psychiatric diagnoses were made using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), criteria and the Structured Clinical Interview for DSM-IV Axis I Disorders. Results. The mean follow-up was 12 years (range 4 to 17). The average age was 8 years at the time of the trauma and 20 years at the last follow-up. Urethral continuity was achieved in 97.9% of the children. Of the 49 patients, 19 had at least one urologic complication, 18 had orthopedic pathologic findings, and 21 had psychiatric diagnoses. The number of urologic procedures required (more than three), presence of long-term complications, and total number of hospitalizations (more than three) secondary to the injury significantly affected the development of a psychological disorder. Conclusions. The results of our study have shown that posttraumatic PUR in children is associated with a significant rate of long-term complications. Nonoperative treatment of pediatric pelvic fractures associated with PUR has been quite successful. Repeated operations, the presence of long-term urologic complications, and frequent and long hospital stays result in serious attendant psychological problems. Therefore, careful and prolonged follow-up of posttraumatic urethral injury with a multidisciplinary approach is necessary to provide better outcomes and a better quality of physical and social life for these children.en_US
dc.identifier.doi10.1016/j.urology.2005.01.056
dc.identifier.endpage179en_US
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.issue1en_US
dc.identifier.pmid15992899en_US
dc.identifier.scopus2-s2.0-22344445760en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage174en_US
dc.identifier.urihttps://doi.org/10.1016/j.urology.2005.01.056
dc.identifier.urihttps://hdl.handle.net/11468/16170
dc.identifier.volume66en_US
dc.identifier.wosWOS:000232157500038en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofUrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleLong-term urologic, orthopedic, and psychological outcome of posterior urethral rupture in childrenen_US
dc.typeArticleen_US

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