title: Long-term follow-up after transurethral treatment of infravesical obstruction in boys.
abstract: OBJECTIVE
  To study whether boys who underwent transurethral treatment of (mild) infravesical obstruction during childhood have lower urinary tract symptoms and complications at young adult age.
  
  
  METHODS
  Young adult men who underwent transurethral treatment for infravesical obstruction as a child were contacted. The following measurements were done: International Prostate Symptom Score (IPSS), International Consultation on Incontinence Modular Questionnaire on Urinary Incontinence, frequency volume chart uroflowmetry, and postvoid residual. A group of 151 male students who completed IPSS and underwent uroflowmetry was used as reference group to compare with patients.
  
  
  RESULTS
  Of 135 traceable patients, 87 men (median age 21.9 years; interquartile range [IQR] 19.6-25.6) returned the questionnaires, and 71 underwent uroflowmetry. Median age at initial treatment was 7.9 years (IQR 1.0-10.8). Compared with men in the reference group, patients had similar IPSS and quality of life scores; median IPSS was 3, and IPSS-quality of life 1 (IQR 0.0-1.0). Urgency incontinence and postmicturition incontinence were reported in 2.4% and 8.5%, respectively. Frequency volume charts (n = 29) showed normal frequency and voided volumes. Uroflowmetry results were comparable with the reference group, although 16 (22.5%) patients voided volumes >600 mL. One patient had urethral stricturing, and one a significant postvoid residual.
  
  
  CONCLUSIONS
  Young adult men treated for (mild) urethral obstruction in childhood have few micturition symptoms and good uroflowmetry results, not different from a reference group. Some patients, however, report incontinence, and this group deserves close attention. Late complications were rare.
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Jan H
authors.initials: JH
authors.lastname: Kieft
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: paulinehennus@gmail.com.
authors.forename: Pauline M L
authors.initials: PM
authors.lastname: Hennus
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Esther
authors.initials: E
authors.lastname: Hoenjet
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Sybren P
authors.initials: SP
authors.lastname: Rynja
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands; Pediatric Renal Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Tom P V M
authors.initials: TP
authors.lastname: De Jong
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: J L H Ruud
authors.initials: JL
authors.lastname: Bosch
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Laetitia M O
authors.initials: LM
authors.lastname: De Kort
mesh_terms: D002648:Child; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D013997:Time Factors; D014521:Urethra; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery*; D014570:Urologic Diseases / Q000453:epidemiology*; D013521:Urologic Surgical Procedures, Male / Q000379:methods