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Case 1

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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 Presentation

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Page 1: Case 1

Case 1

Page 2: 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

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Examination

• G/E: Unremarkable.

• P/A: Soft SPC in place

• Ext genitalia: NAD

• Anal tone normal

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AUG

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MCUG

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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

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Problems

• Bladder still high inspite of waiting for 8 months

• Veru at the level of upper border of pubic symphysis

• Wide gap

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• For urethroplasty

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Case 2

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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

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Examination

• G/E: Unremarkable.

• P/A: Soft SPC in place

• Ext genitalia: NAD

• Anal tone normal

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AUG/MCUG

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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.

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