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Case 1

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

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Case 1

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  1. Case 1

  2. 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 ison regular SPC change

  3. Examination • G/E: Unremarkable. • P/A: Soft SPC in place • Ext genitalia: NAD • Anal tone normal

  4. AUG

  5. MCUG

  6. urethroscopy with SPC scopy on 28/11/13 • Urethroscopy Blind end at proximal bulbar urethra • SPC scopy Veruseen,blind end just distal to veru • Suprapubic scope not felt in perineum • Bugiogram done which showed wide gap

  7. Problems • Bladder still high inspite of waiting for 8 months • Veru at the level of upper border of pubic symphysis • Wide gap

  8. For urethroplasty

  9. Case 2

  10. History • 30 year old male with H/O RTA in october 2013 • Sustained pelvic fracture with urethral rupture • SPC was inserted outside and ison regular SPC change

  11. Examination • G/E: Unremarkable. • P/A: Soft SPC in place • Ext genitalia: NAD • Anal tone normal

  12. AUG/MCUG

  13. 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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