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ORIGINAL ARTICLE
Year : 2017  |  Volume : 14  |  Issue : 1  |  Page : 8-11

Delayed primary end-to-end anastomosis for traumatic long segment urethral stricture and its short-term outcomes


1 Department of Paediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
2 Department of Paediatric Surgery, Dr. B. C. Roy Post Graduate Institute of Paediatric Sciences, Kolkata, West Bengal, India
3 Department of Pathology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India
4 Department of Paediatric Surgery, Apollo Gleneagles Hospital, Kolkata, West Bengal, India

Correspondence Address:
Dr. Kartik Chandra Mandal
Department of Paediatric Surgery, Dr. B. C. Roy Post Graduate Institute of Paediatric Sciences, Kolkata - 700 054, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajps.AJPS_38_16

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Background: The purpose of this study is to evaluate the aetiology of posterior urethral stricture in children and analysis of results after delayed primary repair with extensive distal urethral mobilisation. Materials and Methods: This was a retrospective study carried out in a tertiary care centre from January 2009 to December 2013. Results: Eight children with median age 7.5 years (range 4–11 years), underwent delayed anastomotic urethroplasty: Six through perineal and two through combined perineal and transpubic approach. All the eight children had long-segment >2 cm stricture: Three posterior and five anterior urethral stricture. On a mean follow-up period of 33 months (range 24–48 m), all were passing urine with good flow and stream. Conclusion: End-to-end anastomosis in post-traumatic long segment posterior urethral stricture between prostatic and penile urethra in children is possible by perineal or combined perineal and transpubic approach with good results without any urethral replacement.


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