Pediatric And Adolescent Transperineal Anastomotic Urethroplasty

Main Category: Urology / Nephrology
Also Included In: Pediatrics / Children's Health
Article Date: 05 Sep 2008 - 3:00 PDT

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UroToday.com - This study out of Cairo, Egypt by Dr. El-Sheikh, et al., examined the outcome of the open reconstructive technique in adolescent patients with posterior urethral distraction injuries. They presented 15 patients between 5 and 17 years of age with posterior urethral distractions due to motor vehicle accidents. They utilized a perineal approach to achieve a tension-free spatulated anastomosis.

The mean follow-up was 28.4 months. One patient developed a bladder stone after surgery. Their initial success rate was 80% with one surgery and 86.6% with another surgery. They noted no penile curvature, shortening, or urethral diverticulae during follow-up.

The group concluded that by utilizing a perineal approach, with the updated guidelines of urethroplasty, a consistent success rate could be achieved in the pediatric and adolescent patients with posterior urethral injuries. They strongly recommended open urethroplasty as a primary option instead of some type of endoscopic or minimally invasive approach, such as primary catheterization, because the repair has a longer durability.

M.G. El-Sheikh, A.M. Ziada, S.Z. Sadek, I. Shoukry
J Pediatr Urol, Epub ahead of print
10.1016/j.jpurol.2008.04.008

Reported by UroToday.com Medical Editor Pasquale Casale, MD

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