Abstract
Objective:This is a retrospective analysis of the results of 53 boys with traumatic stricture and obliteration of posterior urethra after transuretral resection(TUR).The indications of TUR and TUR plus Ti-Ni metal stem are discussed.Materials and Methods:Thirty-five children with urethral stricture and 18 with urethral obliteration(age 4-12 yrs,average 7 yrs)are reviewed.Of them,3 cases underwent TUR and 23 received TUR plus metal stent.They were followed up from 3 months to 8 years.Results:Among patients treated with TUR,23 cured,3improved.3 had imcontinence and 1 converted to open surgery.For those treated with TUR plus metal stent,7 cured,1 improved,8 had normal urination with stent and 7 converted to surgery.Conclusions:TUR is indicated in short urethral stricture or obliterations,for stricture shorter than 1cm.the metal stent is not necessary.Stricture or obliteration of 1-2 cm in length would be better treated by TUR plus metal stent.An open surgery should be considered for the affected segment longer than 2 cm. Key words: Urethra/injury; Urethral stricture; Tranaurethral resection
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