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• W2020101541 abstract "You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery II1 Apr 201290 IS TRANSPUBIC URETHROPLASTY PERFORMED FREQUENTLY IN CHILDREN? Mamdouh koraitim Mamdouh koraitimMamdouh koraitim Alexandria, Egypt More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.137AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Transpubic urethroplasty has been repeatedly reported to be used more frequently in children than in adults. Also, it has been claimed that this is attributed to the confined perineum and delicate structures in children. In this study we attempted to learn how much frequently the transpubic urethroplasty is performed in children compared to adults. Also, we attempted to determine the reasons for the use of the transpubic approach in this group of patients. METHODS A total of 45 boys, 3 to 18 years old, underwent anastomotic repair of a post-pelvic fracture urethral injury (PFUI) between 1995 and 2009. During the same period 87 adults, 19 to 50 years old, underwent the same urethral repair of a PFUI. All preoperative, operative and postoperative data were recorded prospectively in our data base. The preoperative urethrograms were reinterpreted to measure the length of bulboprotatic urethral gap, length of bulbar urethra and transverse diameter of the pubic arch (as a representative of the operative space available in the perineum). In addition, we calculated the index of gapo/urethrometry (G/U) by dividing the length of urethral gap by that of bulbar urethra. RESULTS Of 45 children 26 (58%) were corrected by a simple perineal bulbo-prostatic urethral anastomosis and 19 (42%) by a perineo-abdominal transpubic procedure. Of 87 adults 61 (70%) were corrected via the perineum and 26 (30%) via a transpubic approach. In children group the mean (range) of width of the pubic arch of cases who underwent perineal and transpubic repair was 3.6 (3.0-4.5) cm vs. 3.4 (3.0-4.5) cm, respectively (p >0.05). The mean (range) of urethral gap length and G/U index of same cases were 1.3 (0.5-2.7) cm vs. 3.5 (2.5-6.0) cm, and 0.20 (0.11-0.34) vs. 0.64 (0.40-0.90), respectively (p <0.001). CONCLUSIONS The transpubic approach for posterior urethroplasty is more frequently used in children than in adults (42% vs. 30%, p <0.05). It seems that the “confined perineum” in children is not a significant determinant of the frequently used transpubic approach in this group of patients. Rather, this may be explained by the normally inherited short bulbar urethra and, consequently, the high value of Gapo/Urethrometry index in children. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e37-e38 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mamdouh koraitim Alexandria, Egypt More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2020101541 title "90 IS TRANSPUBIC URETHROPLASTY PERFORMED FREQUENTLY IN CHILDREN?" @default.
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