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Urethral Strictures in Childhood
Author(s) -
FRANK J. D.,
POCOCK R. D.,
STOWER M. J.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb04432.x
Subject(s) - medicine , urethroplasty , meatal stenosis , urethral stricture , surgery , urethrotomy , lichen sclerosus , balanitis , stenosis , urethra , immunology
Summary— Thirty‐six children have been treated for a non‐hypospadiac urethral stricture. Of 12 patients with meatal or submeatal stenosis, 10 had undergone circumcision for balanitis xerotica obliterans. The strictures were successfully treated by meatoplasty or meatal dilatation. Twenty‐four children had a more proximal urethral stricture: 16 were caused by urethral catheterisation, 4 were post‐traumatic, 2 were congenital and 2 were idiopathic. Sixteen children were treated by visual urethrotomy; this was successful in 12 after a maximum of 2 urethrotomies. Two children required 4 or more urethrotomies and 2 required urethroplasty for restricturing. Seven children were treated by a formal urethroplasty. There were no complications. Two patients died of unrelated medical conditions. Follow‐up was for a mean of 2 years.