Treatment of intraperitoneal bladder rupture involves surgical exploration and repair Clinical Indications for Discharge or Admission Children with bladder injuries should be admitted to the hospital for further operative or nonoperative care URETHRA Goal of Treatment The goals of the acute management of children with urethral injuries include identifying the extent and location of the potential urethral injury and, in consultation with urology, providing safe drainage of the bladder while minimizing the risk of long-term sequela such as urethral stricture or erectile dysfunction FIGURE 108.4 Sagittal section of male lower urinary tract illustrating levels of urethra CLINICAL PEARLS AND PITFALLS