Outcome of pull-in procedure in children with severe post-disruption posterior urethral strictures |
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Authors: | D. Erol L. Emir C. Germiyanoğlu |
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Affiliation: | (1) Department of Urology, Ankara Research and Training Hospital, Ministry of Health, Ankara, Turkey, TR;(2) 58 Sokak, 41/6, Emek-Ankara, Turkey, TR |
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Abstract: | A total of 17 children aged 5 to 15 years with the diagnosis of posttraumatic posterior urethral stricture were operated upon using a pull-in procedure during the last 9 years. Among the diagnostic tools, synchronous inspection of both the anterior and posterior urethra by cystoscopy yielded the most valuable information. A success rate of 70% was achieved with the procedure plus postoperative re-catheterization. A pedunculated tube prepared from the scrotal skin cured 2 patients after a series of failed operations. Difficult voiding occurring after removal of the stent due to an inappropriate pressure gradient created between the bladder neck and urethra usually benefits from short-term catheterization. Mild chordee was present in 1 patient. Ejaculation and erection were present in 3 children who reached puberty. Accepted: 19 June 2000 |
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Keywords: | Posttraumatic urethral stricture Pull-in procedure |
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