Transpubic Urethroplasty in Children

Publisher Website
Google Scholar
Abstract
In 12 children with membranous urethral strictures, transpubic urethroplasty was performed successfully with minimal morbidity and no mortality. Of the 12 patients, 8 were completely continent after transpubic urethroplasty, 2 had partial continence, and 2 were incontinent. Wedge resection of the pubic symphysis afforded satisfactory exposure to the prostatic urethra, and none of the 12 patients experienced orthopedic instability, abnormal gaits of pelvic girdle pain. In 3 patients there was loss of erectile function after pelvic injury, which reflects the significant risk of impotence after crush injury to the pelvis with rupture of the posterior urethra.