[Treatment of urethral stenoses in children using a balloon catheter].
The management of the urethral strictures in children has involved dilatation, internal urethrotomy and urethroplasty. Each method of management has varying degrees of success and is associated with special problems. The authors describe their experience in the management of urethral strictures in 32 children by inflatable balloon catheter. The procedure involves atraumatic catheterization by an urethral catheter under radioscopic vision, followed by introduction of a balloon catheter on a flexible guide which is then filled by contrast medium. The stenosis is visible on the balloon and the rapidity with which it "yields" can readily be appreciated. Control of dilatation is effected by voiding urethrography. This method entails much less discomfort and more advantages than conventional urethral dilatation. No complication was observed. All patients underwent a second balloon dilatation, without radioscopy and 25 also a third prior to obtain a good and permanent result.
Divisione di Chirurgia Pediatrica, Sezione di Urologia, Ospedale Regionale, Vicenza, Italia.
S
S
D'Agostino
P
P
Campobasso
L
L
Musi
F
F
Cappellari
G
G
Belloli
D002404:Catheterization / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000628:therapy*
Il trattamento delle stenosi uretrali in età pediatrica mediante catetere a palloncino.