It is prospective randomized comparative clinical trial comparing primary urethral realignment vs. suprapubic cystostomy in initial management of pediatric pelvic fracture urethral injury regarding:

1. The success rate after initial intervention.
2. The need for urethroplasty in the failed realignment group and cystostomy group.
3. The success rate of urethroplasty in the failed realignment group and cystostomy group.

Inclusion Criteria:

• Male children less than 18 years presenting with pelvic fracture urethral injury

Exclusion Criteria:

• Associated bladder neck injury.
• Associated rectal injury.
• Late presentation >2weeks since trauma.
• History of previous urethral intervention.