Outcome of pull-in procedure in children with severe post-disruption posterior urethral strictures

• Published in: Pediatric surgery international Vol. 17; no. 5-6; pp. 414 - 417
• Main Authors: EROL, D, EMIR, L, GERMIYANOGLU, C
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.07.2001; Berlin Springer Nature B.V
• Subjects: Adolescent; Biological and medical sciences; Child; Child, Preschool; Humans; Male; Medical sciences; Stents; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Treatment Outcome; Urethra - injuries; Urethra - surgery; Urethral Stricture - surgery; Urologic Surgical Procedures - methods; Human; Corrective surgery; Urinary system disease; Urethral disease; Cystoscopy; Stenosis; Urinary tract disease; Urinary tract; Trauma; Treatment; Urethra; Surgery; Tissue rupture; Endoscopy; Diagnosis; Child
• ISSN: 0179-0358; 1437-9813
• DOI: 10.1007/s003830000514

A total of 17 children aged 5 to 15 years with the diagnosis of posttraumatic posterior urethral stricture were operated upon using a pull-in procedure during the last 9 years. Among the diagnostic tools, synchronous inspection of both the anterior and posterior urethra by cystoscopy yielded the most valuable information. A success rate of 70% was achieved with the procedure plus postoperative re-catheterization. A pedunculated tube prepared from the scrotal skin cured 2 patients after a series of failed operations. Difficult voiding occurring after removal of the stent due to an inappropriate pressure gradient created between the bladder neck and urethra usually benefits from short-term catheterization. Mild chordee was present in 1 patient. Ejaculation and erection were present in 3 children who reached puberty.