Pelvik Kırık ile Posterior Üretrada Ayrılma Defekti Olan Çocuklarda Tübülerize Bukkal Mukoza Greft Üretroplastisi
Abstract
References
- 1. Bariol SV, Stewart GD, Smith RD, Mc Keown DW, Tolley DA. An analysis of urinary tract trauma in Scotland: Impact on management and resource needs. Surgeon 2005;3:27-30.
- 2. Kashefi C, Messer K, Barden R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol 2008;179:2254- 7.
- 3. Trachta J, Moravek J, Kriz J, Padr R, Skaba R. Pediatric bulbar and posterior urethral injuries: Operative outcomes and long-term follow-up. Eur J Pediatr Surg 2016;26:86-90.
- 4. Singla M, Jha K, Muruganandam S, Srivastava A, Ansari MS, Mandhani A, et al. Posttraumatic posterior urethral strictures in children-management and intermediate-term follow-up in tertiary care centre. Urology 2008;72:540-4.
- 5. Koraitim MM. Posttraumatic posterior urethral strictures in children: A 20-year experience. J Urol 1997;157:641-5.
- 6. Voelzke BB, Breyer BN, McAninch JW. Blunt paediatric anterior and posterior urethral trauma: 32-year experience and outcomes. J Pediatr Urol 2012;8:258-63.
- 7. Aggarwal SK, Sinha SK, Kumar A, Pant N, Borkar NK, Dhua A. Traumatic strictures of the posterior urethra in boys with special reference to recurrent strictures. J Pediatr Urol 2011;7:356-62.
- 8. Xu YM, Qiao Y, Sa YL, Wu DL, Zhang XR, Zhang J, et al. Substitution urethroplasty of complex and long-segment urethral strictures: A rationale for procedure selection. Eur Urol 2007;51:1093-8.
- 9. Pansadoro V, Emiliozzi P. Which urethroplasty for which results? Curr Opin Urol 2002;12:223-7.
- 10. Pansadoro V, Emiliozzi P, Gaffi M, Scarpone P, DePaula F, Pizzo M. Buccal mucosa urethroplasty in the treatment of bulbar urethral stricture. Urology 2003;61:1008-10.
Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children
Abstract
Objective: Posterior urethral trauma is rare type of trauma that is particularly difficult to treat in children. Here, we have
presented our experience with tubularised buccal mucosal graft (BMG) repairs for posterior pelvic fracture urethral
distraction defects (PFUDDs) in children.
Material and Methods: We retrospectively evaluated three cases of tubularised BMG repairs for PFUDDs in our
clinic between 2009 and 2016. The BMGs were 3 cm in length, on average, and sutured between the stump of the
proximal prostatic urethra and the distal bulbar urethra. All of the patients underwent urethrography, urethroscopy and
uroflowmetry assessments postoperatively.
Results: The mean patient age was 9 (6–14) years and all three patients were male. Two of the three patients with
posterior urethral injuries were operated on at least twice at another centre and referred to our clinic with PFUDDs. All
three patients underwent tubularised BMG urethroplasties for the PFUDDs. We noted urethral integrity in the cystoscopic
evaluations of two of the patients, with no strictures, and these two patients were fully continent. A proximal anastomotic
contracture was noted in the third patient and a revision was required.
Conclusion: A tubularised BMG should be used to prevent penile shortening and anastomotic tension in a PFUDD.
References
- 1. Bariol SV, Stewart GD, Smith RD, Mc Keown DW, Tolley DA. An analysis of urinary tract trauma in Scotland: Impact on management and resource needs. Surgeon 2005;3:27-30.
- 2. Kashefi C, Messer K, Barden R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol 2008;179:2254- 7.
- 3. Trachta J, Moravek J, Kriz J, Padr R, Skaba R. Pediatric bulbar and posterior urethral injuries: Operative outcomes and long-term follow-up. Eur J Pediatr Surg 2016;26:86-90.
- 4. Singla M, Jha K, Muruganandam S, Srivastava A, Ansari MS, Mandhani A, et al. Posttraumatic posterior urethral strictures in children-management and intermediate-term follow-up in tertiary care centre. Urology 2008;72:540-4.
- 5. Koraitim MM. Posttraumatic posterior urethral strictures in children: A 20-year experience. J Urol 1997;157:641-5.
- 6. Voelzke BB, Breyer BN, McAninch JW. Blunt paediatric anterior and posterior urethral trauma: 32-year experience and outcomes. J Pediatr Urol 2012;8:258-63.
- 7. Aggarwal SK, Sinha SK, Kumar A, Pant N, Borkar NK, Dhua A. Traumatic strictures of the posterior urethra in boys with special reference to recurrent strictures. J Pediatr Urol 2011;7:356-62.
- 8. Xu YM, Qiao Y, Sa YL, Wu DL, Zhang XR, Zhang J, et al. Substitution urethroplasty of complex and long-segment urethral strictures: A rationale for procedure selection. Eur Urol 2007;51:1093-8.
- 9. Pansadoro V, Emiliozzi P. Which urethroplasty for which results? Curr Opin Urol 2002;12:223-7.
- 10. Pansadoro V, Emiliozzi P, Gaffi M, Scarpone P, DePaula F, Pizzo M. Buccal mucosa urethroplasty in the treatment of bulbar urethral stricture. Urology 2003;61:1008-10.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | May 24, 2019 |
| Submission Date | December 5, 2017 |
| Published in Issue | Year 2019 Volume: 13 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
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