Nd-YAG laser core-through urethrotomy in obliterative posttraumatic urethral strictures in children

P. N. Dogra, Ghulam Nabi

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    This study analysed the feasibility and effectiveness of Nd-YAG laser core-through urethrotomy in the management of obliterative posttraumatic urethral strictures in children. Between May 1997 and April 2000, 61 patients underwent core-through urethrotomy in posttraumatic urethral strictures, ten of whom were children (ages 5-15 years). Three patients had had previous railroading procedures, two attempted core-through urethrotomy, and two underwent end-to-end urethroplasties. Patients were on suprapubic cystostomy for a mean period of 12 months with mean stricture length of 2 cm. Nd-YAG laser core-through urethrotomy was carried out using 600-mum bare-contact fibre as a day care procedure. There were no intraoperative or postoperative complications. Micturating cystourethrography was performed 6 weeks following urethral catheter removal. Urethroscopy and uroflowmetry were carried out after 3 months. Mean follow-up was 24 months.Nd-YAG laser core-through urethrotomy was seen to be successful in all patients without any complications. All patients are voiding without obstructive symptoms. Four required optical urethrotomy/endoscopic dilatation at least twice. Nd-YAG laser core-through urethrotomy is a safe and effective procedure for the management of obliterative posttraumatic urethral strictures in children

    Original languageEnglish
    Pages (from-to)652-55
    Number of pages4
    JournalPediatric Surgery International
    Volume19
    Issue number9-10
    DOIs
    Publication statusPublished - 2003

    Keywords

    • laser
    • core-through
    • uretherotomy
    • urethral strictures
    • ENDOSCOPIC TREATMENT
    • MANAGEMENT
    • URETHROPLASTY
    • INJURIES
    • DISRUPTIONS
    • EXPERIENCE

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