title: Our experience, technique and long-term outcomes in the management of posterior urethral strictures.
abstract: OBJECTIVE
  To share our experience, technique and long-term outcomes in posterior urethral stricture management.
  
  
  METHODS
  Thirty-seven boys with post-traumatic posterior urethral stricture underwent resection and end-to-end anastomosis through pre-anal coronal approach or in combination with trans-pubic approach from January 2000 to December 2011. Follow up included symptomatic evaluation by micturating cystourethrogram and retrograde urethrogram in all patients, and urethroscopy in patients with voiding symptoms.
  
  
  RESULTS
  Pre-anal coronal approach was used in 29 (78%) cases and in 8 (21%) cases it was combined with trans-pubic approach. In 33 (89.1%) patients it was first attempt, while in 4 (10.9%) it was redo surgery. Two patients required buccal mucosal graft to bridge the deficient urethra. Patient age was 5-17 years (mean 10.8 years). Mean follow up was 48.5 months (range 6-132 months). Thirty-two (86%) patients were symptom free. Failed repairs were successfully managed by urethral dilation in 3 and by redo urethroplasty in the remaining 2. All patients were continent. There was no chordee, penile shortening or urethral diverticula.
  
  
  CONCLUSIONS
  Resection and end-to-end anastomosis of posterior urethral stricture is possible through pre-anal coronal incision; however, if slightest difficulty is envisaged in creating a satisfactory end-to-end anastomosis, extension to trans-pubic approach should be done.
authors.affiliation: Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India. Electronic address: amitps2011@gmail.com.
authors.forename: Amit
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India. Electronic address: drshasank_aiims@yahoo.co.in.
authors.forename: Shasanka Shekhar
authors.initials: SS
authors.lastname: Panda
authors.affiliation: Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India. Electronic address: http://www.paediatric-urologyonline.com.
authors.forename: Minu
authors.initials: M
authors.lastname: Bajpai
authors.affiliation: Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India. Electronic address: manishajana@gmail.com.
authors.forename: Manisha
authors.initials: M
authors.lastname: Jana
authors.affiliation: Department of Anaesthesiology, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India. Electronic address: dalimkumarb001@yahoo.co.in.
authors.forename: Dalim Kumar
authors.initials: DK
authors.lastname: Baidya
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D004106:Dilatation; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
keywords: Long-term outcome; Pre-anal coronal; Trans-pubic; Traumatic stricture urethra