Etiology and outcome of the perineal repair of posterior and bulbar urethral strictures in children: A single surgeon experience.
Standard
Etiology and outcome of the perineal repair of posterior and bulbar urethral strictures in children: A single surgeon experience. / Pfalzgraf, Daniel; Isbarn, Hendrik; Meyer-Moldenhauer, Wolf-Hartmut; Fisch, Margit; Riechardt, Silke.
In: J PEDIATR UROL, Vol. 9, No. 6 Pt A, 2013, p. 769-74.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Etiology and outcome of the perineal repair of posterior and bulbar urethral strictures in children: A single surgeon experience.
AU - Pfalzgraf, Daniel
AU - Isbarn, Hendrik
AU - Meyer-Moldenhauer, Wolf-Hartmut
AU - Fisch, Margit
AU - Riechardt, Silke
N1 - Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
PY - 2013
Y1 - 2013
N2 - OBJECTIVE: To evaluate the etiology of posterior and/or bulbar strictures in children in an industrialized country and assess the outcome of its repair by perineal approach. Urethral strictures in children are rare and often challenging to treat. Trauma is the main etiology in developing countries. However, data for industrialized countries are sparse.MATERIAL AND METHODS: Retrospective analysis of 17 patients treated with perineal urethroplasty 2001-2010. Data were assessed by chart review and non-validated standardized questionnaire. Hypospadias cases were excluded. Reconstruction was performed by stricture excision and primary anastomosis, or a single-staged or two-staged buccal mucosa graft.RESULTS: Mean age at surgery was 7.9 years (range 1-13) and mean follow-up was 42.6 months (4-115). Eight patients (47.1%) had post-traumatic strictures, five (29.4%) had a history of posterior valves, and previous transurethral catheterization and irradiation each accounted for one patient (5.9%). In the remaining two (11.8%), the etiology was unknown. The success rate was 88.9%. All but one patient were continent postoperatively.CONCLUSIONS: Most common etiology for open urethral reconstruction in children was trauma and previous valve treatment. In our hands the perineal approach for stricture repair is safe and successful. Stricture recurrence rate is low, and incontinence is only associated with additional bladder neck trauma.
AB - OBJECTIVE: To evaluate the etiology of posterior and/or bulbar strictures in children in an industrialized country and assess the outcome of its repair by perineal approach. Urethral strictures in children are rare and often challenging to treat. Trauma is the main etiology in developing countries. However, data for industrialized countries are sparse.MATERIAL AND METHODS: Retrospective analysis of 17 patients treated with perineal urethroplasty 2001-2010. Data were assessed by chart review and non-validated standardized questionnaire. Hypospadias cases were excluded. Reconstruction was performed by stricture excision and primary anastomosis, or a single-staged or two-staged buccal mucosa graft.RESULTS: Mean age at surgery was 7.9 years (range 1-13) and mean follow-up was 42.6 months (4-115). Eight patients (47.1%) had post-traumatic strictures, five (29.4%) had a history of posterior valves, and previous transurethral catheterization and irradiation each accounted for one patient (5.9%). In the remaining two (11.8%), the etiology was unknown. The success rate was 88.9%. All but one patient were continent postoperatively.CONCLUSIONS: Most common etiology for open urethral reconstruction in children was trauma and previous valve treatment. In our hands the perineal approach for stricture repair is safe and successful. Stricture recurrence rate is low, and incontinence is only associated with additional bladder neck trauma.
U2 - 10.1016/j.jpurol.2012.09.007
DO - 10.1016/j.jpurol.2012.09.007
M3 - SCORING: Journal article
C2 - 23073040
VL - 9
SP - 769
EP - 774
JO - J PEDIATR UROL
JF - J PEDIATR UROL
SN - 1477-5131
IS - 6 Pt A
ER -
