Nd-YAG laser core-through urethrotomy in obliterative posttraumatic urethral strictures in children

P. N. Dogra, G. Nabi

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

This study analysed the feasibility and effectiveness of Nd-YAG laser core-through urethrotomy in the management of obliterative posttraumatic urethral strictures in children. Between May 1997 and April 2000, 61 patients underwent core-through urethrotomy in posttraumatic urethral strictures, ten of whom were children (ages 5-15 years). Three patients had had previous railroading procedures, two attempted core-through urethrotomy, and two underwent end-to-end urethroplasties. Patients were on suprapubic cystostomy for a mean period of 12 months with mean stricture length of 2 cm. Nd-YAG laser core-through urethrotomy was carried out using 600-μm bare-contact fibre as a day care procedure. There were no intraoperative or postoperative complications. Micturating cystourethrography was performed 6 weeks following urethral catheter removal. Urethroscopy and uroflowmetry were carried out after 3 months. Mean follow-up was 24 months. Nd-YAG laser core-through urethrotomy was seen to be successful in all patients without any complications. All patients are voiding without obstructive symptoms. Four required optical urethrotomy/endoscopic dilatation at least twice. Nd-YAG laser core-through urethrotomy is a safe and effective procedure for the management of obliterative posttraumatic urethral strictures in children.

Original languageEnglish
Pages (from-to)652-655
Number of pages4
JournalPediatric Surgery International
Volume19
Issue number9-10
DOIs
Publication statusPublished - Nov 2003

Keywords

  • Core-through
  • Laser
  • Uretherotomy
  • Urethral strictures

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