[Stenosis of the external urethral opening as one of the causes of recurrent urinary infections in girls--surgical treatment].
105 middleaged girls (8.4 years) were operated upon at this Clinic because of distal meatal stenosis (DMS) as one of the causes of recurrent urinary infections and/or tenacious dysuria. Meatoplasty, one small surgical intervention, does treat about 78.1% infections of the urinary tract, as well as about 36.8% vesicoureteral reflux (VUR) of the I and II grade. The fibrous ring which is an anatomical alteration of DMS, is primarily obstructive lesion, which is appearing most frequently associated with urinary infection. In one quarter of cases in which a meatoplasty did not show a clinical improvement, one should think over the more radical surgery either at the urinary neck or at the vesico-ureteral junction. Spontaneous improvement or/and regression of VUR, in one third of cases following meatoplasty is an encouraging datum; but this intervention by itself is not a method for its treatment. A small number of complications, one stress incontinence only, demonstrate a reliability of this procedure in selected cases. Meatoplasty and dilatation of stenosed urethral meatus are alternative methods, which give similar results and their use mainly depends on the urologist's affinity to this method.
Milanović
D
D
Sremcević
D
D
Perović
S
S
Sćepanović
D
D
Krstić
Z
Z
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D012008:Recurrence; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D014552:Urinary Tract Infections / Q000209:etiology*
Stenoza spoljasnjeg otvora uretre kao jedan od uzroka recidivantnih urinarnih infekcija u zenske dece--hirurska leĕnje.