WOFAPS 2025 8th World Congress of Pediatric Surgery

Purpose: Urogenital injury is reported in children in association with pelvic fracture. The co-incidence is reported with wide variability from 2-30%. Patterns of trauma also vary with regards to the local environment. We aimed to investigate local, anecdotal experience that urogenital injury with pelvic fracture is rare in our high volume trauma centre in a high income, urban environment.

Methods: A prospective trauma database was interrogated at a single, tertiary major trauma unit. Case notes were reviewed for all patients with a recorded pelvic fracture.

Results: There were 20 patients with traumatic pelvic fractures over the 2.5 year period. The mean age at injury was 14 years. The most common mechanism was road traffic accident (60%). Nine (45%) had their pelvic fracture managed operatively. One patient (5%) passed away prior to detailed assessment. One patient (5%), aged 16, had a urogenital injury (bulbar urethral disruption). No delayed urogenital injuries were noted.

Conclusion: Both pelvic fracture and concomitant urogenital injury in children are rare in an urban, high income setting. In the absence of other urogenital symptoms and signs, clinicians can adopt a conservative approach following confirmed pelvic fracture.