[Urethral stricture in children. Long term results of surgical treatments].
Thirty-six urethral strictures were treated between 1977 and 1984. Three strictures were considered to be congenital, eleven were traumatic and twenty-two were iatrogenic. The authors performed twenty five internal urethrotomies, twelve resection-sutures of the urethra and eleven urethroplasties including eight patch grafts with a pedicle derived from scrotal or penile skin, a tubed pedicle scrotal skin flap, one Jurascek urethroplasty and one Leveuf urethroplasty. Internal urethrotomy only gave 50% of good results and is now reserved for short strictures less than one centimetre in length. Resection-suture is an excellent operation which should be reserved for strictures less than two centimetres in length: it gave 84% of good results. One of the various types of pedicle cutaneous urethroplasty is certainly the best operation for long strictures: it gave more than 90% of good results in the present series.
Service d'Urologie, Hôpital Necker, Paris.
P
P
Quentel
D
D
Beurton
J C
JC
Baron
J
J
Cukier
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D013518:Surgery, Plastic / Q000379:methods / Q000592:standards; D013524:Surgical Flaps; D013536:Suture Techniques; D014525:Urethral Stricture / Q000209:etiology / Q000473:pathology / Q000601:surgery*
Sténose de l'urètre chez l'enfant. Résultats à long terme des traitements chirurgicaux.