Trans-symphyseal urethroplasty in children

Abstract

Post traumatic posterior urethral strictures were managed by trans-symphyseal urethroplasty in 11 male patients of pediatric age group. The aim of the study was to evaluate the results of the technique in patients who underwent multiple unsuccessful procedures in the past. Two(18.2%) patients were 3-5 years old, 3 (27.3%) were between 6 and 8 years, 1 (9.1 %)was 10 years old whereas 5(45.5%) were 12-14 years of age. The length of the strictures varied from 1-3cm. Repair was performed after excising the stricture and anastomosing the spatulated urethral ends with interrupted sutures of 5/0 vicryl over a Foley`s catheter. Post operative follow up showed incontinence in 1(9.1%) case and prolonged urinary tract infection in 4(36.4%) cases. Postoperative stricture was not noted in only one of them at I year follow up. The authors recommend that trans-symphyseal urethroplasty is a satisfactory procedure for the treatment of posterior urethral strictures in children as it provides excellent approach and visualization with minimal post operative complications.