Delayed primary end-to-end anastomosis for traumatic long segment urethral stricture and its short-term outcomes

Background: The purpose of this study is to evaluate the aetiology of posterior urethral stricture in children and analysis of results after delayed primary repair with extensive distal urethral mobilisation. Materials and Methods: This was a retrospective study carried out in a tertiary care centre...

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Bibliographic Details
Published in:African journal of paediatric surgery 2017-01, Vol.14 (1), p.8-11
Main Authors: Kumar, Rajarshi, Mandal, Kartik, Halder, Pankaj, Barman, Shibsankar, Mukhopadhyay, Madhumita, Mukhopadhyay, Biswanath
Format: Article
Language:English
Subjects:
Abdomen
Anastomosis, Surgical
Bladder
Care and treatment
Catheters
Children
Defects
Delayed anastomosis
Endoscopy
Fractures
Health aspects
Hospitals
Humans
Original
outcome
Patient outcomes
Patients
Pediatrics
Retrospective Studies
Studies
Success
Surgery
Trauma
traumatic stricture urethra
Treatment Outcome
Urethra - surgery
Urethral Stricture - etiology
Urethral Stricture - surgery
Urethrotomy
Urine
Urologic cancer
Urology
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Summary:Background: The purpose of this study is to evaluate the aetiology of posterior urethral stricture in children and analysis of results after delayed primary repair with extensive distal urethral mobilisation. Materials and Methods: This was a retrospective study carried out in a tertiary care centre from January 2009 to December 2013. Results: Eight children with median age 7.5 years (range 4-11 years), underwent delayed anastomotic urethroplasty: Six through perineal and two through combined perineal and transpubic approach. All the eight children had long-segment >2 cm stricture: Three posterior and five anterior urethral stricture. On a mean follow-up period of 33 months (range 24-48 m), all were passing urine with good flow and stream. Conclusion: End-to-end anastomosis in post-traumatic long segment posterior urethral stricture between prostatic and penile urethra in children is possible by perineal or combined perineal and transpubic approach with good results without any urethral replacement.
ISSN:0189-6725
0974-5998
DOI:10.4103/ajps.AJPS_38_16