Uroflow findings in older boys with tubularized incised-plate urethroplasty.
OBJECTIVE
To analyze uroflow findings in older boys with tubularized incised-plate urethroplasty (TIPU).


METHODS
79 toilet-trained patients who had TIPU were evaluated by studying their voiding history, a physical examination, suprapubic ultrasound and uroflowmetry, both pre- and postoperatively. The obstructive urinary flow pattern (OUFP) was accepted as low maximum urinary flow rate with plateau, staccato or intermittent shape.


RESULTS
The mean age was 7 years (range 5-11). The mean follow-up was 30 months (range 6-36). Of the 79 patients, 70 recovered. A permanent OUFP was found in 10 of 63 patients, as follows: 7 were detected in the 6th month after operation, and 1 each in the 9th, 18th and 36th months.Ten patients had no voiding abnormality and significant residual urine. The mean interval from initial surgery to presentation with an OUFP was 10.5 months.


CONCLUSIONS
An occult urethral obstruction develops in some asymptomatic children with TIPU and commonly occurres in the first year after operation.
Tuygun
Can
C
Department of Urology, S.B. Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. tuyguncan@yahoo.com
Bakirtas
Hasan
H
Gucuk
Adnan
A
Cakici
Hakan
H
Imamoglu
Abdurrahim
A
D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D011446:Prospective Studies; D013997:Time Factors; D014039:Toilet Training; D016896:Treatment Outcome; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*