Genitourinary injuries in the newborn☆
Section snippets
Materials and methods
All patients referred to the pediatric surgical service between July 1995 and June 1998 for genitourinary injuries were included. These patients were all newborn children (6 boys and 1 girl), and all sustained injuries related to either circumcision or cesarean section. We excluded injuries beyond the perinatal period (7 days). There were no other injuries in any of these neonates. There were no deaths in this series, and follow-up (1 to 4 years) examination showed satisfactory functional and
Discussion
It is well known that trauma is a major cause of morbidity and mortality in the pediatric population.5, 7 The newborn child is relatively spared from trauma until they are more mobile. Unfortunately, however, they are not as protected against iatrogenic injuries. Although genitourinary trauma is dealt with comprehensively in many reports,1, 2, 3, 4 these series illustrate the rarity of noniatrogenic newborn genitourinary injuries. Circumcisions and birth trauma account for the majority of cases.
Acknowledgements
The authors thank Kenneth Kenigsberg, MD, from Garden City, NY for sharing his experience of repairing a grade IV perineal tear with us.
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2020, Journal of Pediatric UrologyCitation Excerpt :Due to its rarity, there is no single method for managing this type of injury. Some authors describe healing by secondary intention with delayed formal repair as needed [13,14], while others advocate for primary anastomosis of the amputated glans, together with distal urethra-urethrostomy, in cases with simultaneous urethral injury [2,10,11,15]. It seems that decision making is primary guided by the availability and condition of the amputated tissue, extent of the injury and the elapsed time from injury to repair.
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2019, Complications in Male CircumcisionGlans amputation during routine neonatal circumcision: Mechanism of injury and strategy for prevention
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2010, Journal of Pediatric SurgeryCitation Excerpt :Minor injuries to the genitalia such as abrasions, cellulites, and hematoma are not uncommon and usually heal in a few days [6-10]. Severe birth trauma is infrequent, although case reports of injuries to the skull, spinal cord, brachial plexus, Erb palsy, Klumke's palsy, paralyzed diaphragm, and injured abdominal viscera are documented in the literature [11-23]. Caesarian delivery, which is frequently performed for obstructed labor has greatly reduced the incidence of birth injuries [13].
Surgical approach to penile reconstruction for shaft skin excision from circumcision
2023, Pediatric Surgery InternationalUncommon Conditions and Complications
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