Childhood urethral injuries: perspectives on outcome and treatment.

To elucidate the history of childhood urethral injuries, we undertook a retrospective review of 19 male patients comprising 2 groups: those requiring surgical intervention in adulthood and those with complete disruption of the posterior urethra requiring acute intervention (cystostomy drainage). Group 1 patients (n = 12) ranged in age from 17 to 63 years, had sustained urethral injury between the ages of 3 to 15 years and underwent initial surgery from 9 to 18 years after injury. In all 12 patients the strictures developed in the bulbar urethra. All now report continence and normal voiding and none is impotent. Group 2 patients (n = 7) ranged in age from 4 to 16 years and underwent delayed primary reconstruction of the urethral rupture defect. Six patients are now continent with a good stream but the seventh has required repeat optical urethrotomy. One patient with erectile capability at the time of injury was rendered impotent and remains so.

[1]  M. al-Rifaei,et al.  Management of posterior urethral strictures secondary to pelvic fractures in children. , 1991, The Journal of urology.

[2]  S. Koff,et al.  One-stage membranous urethroplasty in childhood. , 1984, The Journal of urology.

[3]  S. A. Kramer,et al.  Transpubic urethroplasty in children. , 1981, The Journal of urology.

[4]  W. Brock,et al.  Use of the transpubic approach for urethroplasty in children. , 1981, The Journal of urology.

[5]  J. Pierce.  Posterior urethral stricture repair. , 1979, Transactions of the American Association of Genito-Urinary Surgeons.

[6]  Waterhouse Rk.  Transpubic repair of membranous urethral strictures. , 1977 .

[7]  T. Allen.  The transpubic approach for strictures of the posterior urethra superior to the urogenital diaphragm. , 1977, The Urologic clinics of North America.

[8]  R. Turner-Warwick.  A personal view of the management of traumatic posterior urethral strictures. , 1977, The Urologic clinics of North America.

[9]  K. Waterhouse.  The surgical repair of membranous urethral strictures in children. , 1976, Transactions of the American Association of Genito-Urinary Surgeons.