Nd-YAG laser core-through urethrotomy in obliterative posttraumatic urethral strictures in children.

Abstract

This study analysed the feasibility and effectiveness of Nd-YAG laser core-through urethrotomy in the management of obliterative posttraumatic urethral strictures in children. Between May 1997 and April 2000, 61 patients underwent core-through urethrotomy in posttraumatic urethral strictures, ten of whom were children (ages 5-15 years). Three patients had had previous railroading procedures, two attempted core-through urethrotomy, and two underwent end-to-end urethroplasties. Patients were on suprapubic cystostomy for a mean period of 12 months with mean stricture length of 2 cm. Nd-YAG laser core-through urethrotomy was carried out using 600- micro m bare-contact fibre as a day care procedure. There were no intraoperative or postoperative complications. Micturating cystourethrography was performed 6 weeks following urethral catheter removal. Urethroscopy and uroflowmetry were carried out after 3 months. Mean follow-up was 24 months.Nd-YAG laser core-through urethrotomy was seen to be successful in all patients without any complications. All patients are voiding without obstructive symptoms. Four required optical urethrotomy/endoscopic dilatation at least twice. Nd-YAG laser core-through urethrotomy is a safe and effective procedure for the management of obliterative posttraumatic urethral strictures in children

• Authors: P N Dogra, G Nabi
• Journal: Pediatric surgery international (Pediatr Surg Int) Vol. 19 Issue 9-10 Pg. 652-5 (Nov 2003) ISSN: 0179-0358 [Print] Germany
• PMID: 14579073 (Publication Type: Journal Article)

Topics

• Adolescent
• Child
• Child, Preschool
• Feasibility Studies
• Humans
• Laser Therapy (methods)
• Male
• Treatment Outcome
• Urethra (injuries)
• Urethral Stricture (surgery)
• Urologic Surgical Procedures, Male (methods)