التفاصيل البيبلوغرافية
العنوان: |
Blunt pediatric anterior and posterior urethral trauma: 32-year experience and outcomes |
المؤلفون: |
Voelzke, Bryan B, Breyer, Benjamin N, McAninch, Jack W |
المصدر: |
Journal of Pediatric Urology, vol 8, iss 3 |
بيانات النشر: |
eScholarship, University of California |
سنة النشر: |
2012 |
المجموعة: |
University of California: eScholarship |
مصطلحات موضوعية: |
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Pediatric, Physical Injury - Accidents and Adverse Effects, Clinical Research, Good Health and Well Being, Abdominal Injuries, Adolescent, Anastomosis, Surgical, Follow-Up Studies, Humans, Male, Mouth Mucosa, Perineum, Plastic Surgery Procedures, Retrospective Studies, Time Factors, Trauma Severity Indices, Treatment Outcome, Urethra, Urethral Stricture, Urination, Urologic Surgical Procedures, Wounds, Nonpenetrating, Urethroplasty, Pediatric trauma, Reconstruction, Paediatrics and Reproductive Medicine |
جغرافية الموضوع: |
258 - 263 |
الوصف: |
ObjectiveTo analyze our experience with delayed repair of pediatric urethral trauma.Materials and methodsFrom 1978 to 2007, 26 boys <18 years old (mean age 15.0) presented for delayed repair of urethral stricture after blunt trauma. Anterior and posterior urethral injuries were separately stratified.ResultsThere were 8 anterior and 18 posterior urethral strictures. All patients presented in a delayed fashion. Mean follow up of the anterior cohort was 2.9 years. All repairs were performed via a ventral onlay buccal graft or anastomotic approach. The mean follow up of the posterior cohort was 1.1 years, and all posterior urethral injuries were repaired via an anastomotic approach. Overall success for anterior stricture disease was 88.9% and for posterior stricture disease was 89.5%. All three urethroplasty failures responded favorably to internal urethrotomy; however, one failed anterior repair and one of the two failed posterior repairs required two internal urethrotomy operations for success. No secondary urethroplasty operations were required and ultimately all patients were voiding per urethra without need for urethral dilation.ConclusionDelayed, definitive repair of pediatric urethral trauma via open urethroplasty has a high success rate. |
نوع الوثيقة: |
article in journal/newspaper |
وصف الملف: |
application/pdf |
اللغة: |
unknown |
العلاقة: |
qt1tc8h9wb; https://escholarship.org/uc/item/1tc8h9wbTest |
الإتاحة: |
https://escholarship.org/uc/item/1tc8h9wbTest |
حقوق: |
public |
رقم الانضمام: |
edsbas.7A6DA13D |
قاعدة البيانات: |
BASE |