Early Surgical Repair in a Patient with Post-Traumatic Complete Posterior Urethral Rupture Associated with both Vaginal and Rectal Injury

Posterior urethral rupture in females are uncommon. However, when it occurs it is usually a complete rupture often associated with vaginal laceration in 75%, and rectal injury in 33% of the cases. There are controversial approaches to the management of posterior urethral injuries, including primary repair of the urethral ends, primary cystostomy with delayed repair and endoscopic realignment of the urethral ends. Herein, we present a female child who developed complete urethral rupture associated with vaginal and rectal injury due to traffic accident which was urgently repaired after the traumatic event. A-5-year-old-female patient was admitted to our emergency department with a blunt injury as a result of a traffic accident. Computed abdominal tomography revealed a hematoma around bladder neck, fracture of the superior pubic ramus, and a high-situated urinary bladder completely filled wirh extravased contrast material. Urethroplasty was performed immediately through transpubic approach. The serosal defect of the rectum and the anterior aspect of lacerated proximal vagina were also repaired. Early surgical repair of a complete post-traumatic urethral rupture associated with vaginal and rectal injuries yields satisfactory outcomes, as in our case.