Early versus delayed urethroplasty for pediatric pelvic fracture-related urethral injury in boys: a…

Cohort studyTranslational andrology and urology· Jun 2026

Early versus delayed urethroplasty for pediatric pelvic fracture-related urethral injury in boys: a retrospective comparative cohort study of complications and surgical success rates from a single center.

Zhenzhen Yang, Jiayi Li, Zikun Shao … Weiping Zhang

UrologyCohort studyQ2IF 1.6

Over half of boys had complications after urethroplasty, regardless of repair timing.

Early versus delayed urethroplasty for pediatric pelvic fracture-related urethral injury in boys: a retrospective comparative cohort study of complications and surgical success rates from a single center.

Zhenzhen Yang … Weiping Zhang

Translational andrology and urology · Jun 2026 · Q2 in Urology

Background

The optimal timing of urethroplasty for pediatric pelvic fracture-associated urethral injury (PFUI) in boys remains controversial, with limited long-term data.

Purpose

This study aimed to compare the complications and surgical success rates between early (≤10 days) and delayed (≥3 months) urethroplasty in a long-term pediatric cohort.

Methods

This retrospective study included boys who underwent PFUI urethroplasty at a single center (2001-2023).

n = 15

Results

over half of boys had complications after repair, no matter when it was done

RD -15.70 (95% CI -41.30 to 12.40)

CI crosses the null - not significant

More results

Wide 95% confidence intervals (CIs) (e.g., reoperation rate difference: -15.7%, 95% CI: -41.3% to 12.4%) reflect small sample size (especially n=15 in early group) and insufficient power.

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Conclusion

This single-center study does not provide conclusive evidence for superiority of either early or delayed urethroplasty in boys with PFUI. Potential clinically important differences cannot be ruled out. Larger multicenter studies are needed.

Early versus delayed urethroplasty for pediatric pelvic fracture-related urethral injury in boys: a retrospective comparative cohort study of complications and surgical success rates from a single center.

Early versus delayed urethroplasty for pediatric pelvic fracture-related urethral injury in boys: a retrospective comparative cohort study of complications and surgical success rates from a single center.

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