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Urethroplasty for strictures in Nigerian children


OB Shittu

Abstract

Background/Objective: To review the outcome of urethroplasty performed for urethral strictures in children at the University College Hospital, Ibadan, Nigeria, highlighting the difficulties that may hamper successful outcome of reconstruction and suggesting factors that may enhance successful reconstruction.


Method: A retrospective study of 16 children who had urethroplasty performed for urethral strictures over a 5-year period.


Results: All the strictures were post- traumatic. There were no post-inflammatory strictures. Fourteen of the patients had patent anastomosis as demonstrated by the pericatheter urethrogram, and they were able to void satisfactorily thereafter. Two patients developed recurrent strictures that required surgical intervention.


Conclusion: Urethroplasty should be performed for urethral strictures in children as soon


as they present in order to prevent complications such as urinary tract infections, urinary calculi and epididymoorchitis, which may complicate prolonged catheterization. The outcome of urethroplasty in children can be satisfactory if appropriate fine instruments and fine sutures are used.


Key words: Urethral strictures, Nigerian children


Nig. J. of Surgical Research Vol.4(3-4) 2002: 80-83


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eISSN: 1595-1103