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• W2026963946 abstract "No AccessJournal of UrologyPediatric Urology1 Feb 2005LONG-TERM OUTCOME OF VISUAL INTERNAL URETHROTOMY FOR THE MANAGEMENT OF PEDIATRIC URETHRAL STRICTURES ASHRAF T. HAFEZ, AHMED EL-ASSMY, MOHAMED S. DAWABA, OSAMA SARHAN, and MAHMOUD BAZEED ASHRAF T. HAFEZASHRAF T. HAFEZ More articles by this author , AHMED EL-ASSMYAHMED EL-ASSMY More articles by this author , MOHAMED S. DAWABAMOHAMED S. DAWABA More articles by this author , OSAMA SARHANOSAMA SARHAN More articles by this author , and MAHMOUD BAZEEDMAHMOUD BAZEED More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000151339.42841.6eAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the long-term results of visual internal urethrotomy for pediatric urethral strictures to evaluate the efficacy and final outcome of this procedure in children and to evaluate the risk factors for stricture recurrence. Materials and Methods: The computerized surgical records of our hospital were reviewed to identify children who underwent visual internal urethrotomy between 1980 and 2001. Hospital and followup clinical charts were then reviewed. Many variables were analyzed, including age, etiology, length and site of the strictures, and catheter duration. Only patients with a minimum followup of 2 years were included. Regular self-catheterization was not used by any child. Results: A total of 31 patients (mean age 11.2 years, range 2 to 18) were identified. Followup ranged from 2 to 20 years, with a mean of 6.6 years. The most common etiology for stricture formation was failed previous urethroplasty and post instrumentation (35.5% and 32.3%, respectively). The success rate after initial urethrotomy was 35.5% (11 of 31 patients). Mean interval to first recurrence was 26 months. A second urethrotomy improved the success rate of 58.1%. Eight patients required 2 or more urethrotomies, of whom half required open urethroplasty. Among the evaluated variables only stricture length shorter than 1 cm was associated with good results. Conclusions: Visual internal urethrotomy provides a safe first line therapeutic option for pediatric urethral strictures shorter than 1 cm, independent of etiology and location. For patients with more than 1 recurrence or with strictures longer than 1 cm, who are at high risk for recurrence after internal urethrotomy, open urethroplasty remains the treatment of choice. References 1 : Endoscopic management of urethral strictures in children. J Urol1981; 125: 712. Link, Google Scholar 2 : Urethral strictures in children. J Urol1983; 129: 1200. Link, Google Scholar 3 : Urethral strictures in childhood. Br J Urol1988; 62: 590. Google Scholar 4 : Direct vision internal urethrotomy for the treatment of pediatric urethral strictures: analysis of 50 patients. J Urol2003; 170: 952. Link, Google Scholar 5 : Long-term followup of endoscopic management of urethral strictures in children. J Urol1987; 137: 951. Link, Google Scholar 6 : Management of urethral strictures after hypospadias repair. J Urol1998; 160: 170. Link, Google Scholar 7 : Urethral strictures in boys. Urology1987; 30: 46. Google Scholar 8 : Etiology, diagnosis, and management of urethral strictures in children. Urol Clin North Am1990; 17: 389. Google Scholar 9 : Urethral stricture disease in children. J Urol1981; 126: 650. Link, Google Scholar 10 : Urethral strictures in boys. J Urol1979; 121: 217. Link, Google Scholar 11 : Internal urethrotomy in the management of anterior urethral strictures: long-term followup. J Urol1996; 156: 73. Link, Google Scholar 12 : Long-term results of internal urethrotomy. J Urol1996; 156: 1611. Link, Google Scholar 13 : Treatment of male urethral strictures: is repeated dilation or internal urethrotomy useful?. J Urol1998; 160: 356. Link, Google Scholar From the Urology and Nephrology Center, Mansoura University, Mansoura, Egypt© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byDiamond D, Xuewu J, Bauer S, Cilento B, Borer J, Nguyen H, Cendron M, Rosoklija I and Retik A (2009) What is the Optimal Surgical Strategy for Bulbous Urethral Stricture in Boys?Journal of Urology, VOL. 182, NO. 4S, (1755-1758), Online publication date: 1-Oct-2009.Husmann D and Rathbun S (2018) Long-Term Followup of Visual Internal Urethrotomy for Management of Short (Less Than 1 Cm) Penile Urethral Strictures Following Hypospadias RepairJournal of Urology, VOL. 176, NO. 4S, (1738-1741), Online publication date: 1-Oct-2006. Volume 173Issue 2February 2005Page: 595-597 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsurethrapediatricsurethral strictureMetrics Author Information ASHRAF T. HAFEZ More articles by this author AHMED EL-ASSMY More articles by this author MOHAMED S. DAWABA More articles by this author OSAMA SARHAN More articles by this author MAHMOUD BAZEED More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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