PMID: 9537571Apr 16, 1998Paper

Urethral strictures after fulguration of posterior urethral valves

Journal of Pediatric Surgery
R LalD K Mitra

Abstract

This report discusses the incidence and predisposing factors for postfulguration urethral strictures in 82 boys with posterior urethral valves treated over 20 years and followed up for a period ranging from 1 to 21 years. A urethral stricture developed in three of the 82 patients (3.6%). All newborns and infants with small urethral caliber at presentation were treated on a temporary tubeless diversion, and fulguration of the valves was deferred until 9 to 12 months of age. A 9F resectoscope with a loop electrode was used to fulgurate at 5, 7, and 12 o'clock positions. A definite technical factor leading to a stricture could be identified in one of these three patients. Comparison of the "stricture" group with the "no stricture" group suggested that although dry fulguration did not have a definite correlation with stricture formation, it is best avoided. Refulguration and properly managed preoperative catheterization did not predispose to stricture formation. Meticulous surgical technique and avoiding oversized instrumentation were the most important factors for preventing this complication.

References

Mar 1, 1991·British Journal of Urology·R J Nijman, R J Scholtmeijer
Nov 1, 1981·The Journal of Urology·D A Myers, R D Walker

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Citations

Feb 3, 2009·Pediatric Surgery International·Bindu SudarsananKalyan Ravi Prasad Damisetti
Jul 13, 2011·Pediatric Surgery International·Paolo Caione, Simona Gerocarni Nappo
Aug 9, 2011·World Journal of Pediatrics : WJP·Abdulrasheed A NasirMohan K Abraham
May 11, 2013·Journal of Pediatric Urology·Swarnendu MandalDivakar Dalela
Mar 16, 2012·Journal of Pediatric Urology·Ramesh Babu, Ranjith Kumar
Nov 3, 2010·Journal of Pediatric Surgery·Osama SarhanEl-Houssiny Ibrahiem
Oct 2, 2015·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Ademola Olusegun TalabiOlusanya Adejuyigbe
Jan 14, 2000·Nature Biotechnology·S A Teichmann, G Mitchison
May 7, 2002·The Journal of Urology·S A WarneP G Ransley
Nov 14, 2012·Nature Reviews. Urology·Seppo TaskinenRisto Rintala

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