case 1
DESCRIPTION
Case 1. History. 6 year old male child with H/O collapse of wall on him on august 2013. Sustained right superior pubic rami fracture and went into acute retention SPC was inserted outside and is on regular SPC change. Examination. G/E: Unremarkable. P/A: Soft SPC in place - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/1.jpg)
Case 1
![Page 2: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/2.jpg)
History
• 6 year old male child with H/O collapse of wall on him on august 2013.
• Sustained right superior pubic rami fracture and went into acute retention
• SPC was inserted outside and is on regular SPC change
![Page 3: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/3.jpg)
Examination
• G/E: Unremarkable.
• P/A: Soft SPC in place
• Ext genitalia: NAD
• Anal tone normal
![Page 4: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/4.jpg)
AUG
![Page 5: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/5.jpg)
MCUG
![Page 6: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/6.jpg)
urethroscopy with SPC scopy on 28/11/13
• Urethroscopy Blind end at proximal bulbar urethra
• SPC scopy Veru seen,blind end just distal to veru
• Suprapubic scope not felt in perineum• Bugiogram done which showed wide gap
![Page 7: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/7.jpg)
![Page 8: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/8.jpg)
Problems
• Bladder still high inspite of waiting for 8 months
• Veru at the level of upper border of pubic symphysis
• Wide gap
![Page 9: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/9.jpg)
• For urethroplasty
![Page 10: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/10.jpg)
Case 2
![Page 11: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/11.jpg)
History
• 30 year old male with H/O RTA in october 2013
• Sustained pelvic fracture with urethral rupture• SPC was inserted outside and is on regular SPC
change
![Page 12: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/12.jpg)
Examination
• G/E: Unremarkable.
• P/A: Soft SPC in place
• Ext genitalia: NAD
• Anal tone normal
![Page 13: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/13.jpg)
AUG/MCUG
![Page 14: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/14.jpg)
urethroscopy with SPC scopy on 31/12/13
• flexible suprapubic scopy- bladder neck- normal prostatic urethra - normal veru- normal Complete cut off at membranous level• preurethral scopy- complete cut at proximal bulbar level.
![Page 15: Case 1](https://reader035.vdocuments.mx/reader035/viewer/2022070423/568166ee550346895ddb463b/html5/thumbnails/15.jpg)