You have accessJournal of UrologyCME1 May 2022MP08-01 OPERATIVE OUTCOMES OF PEDIATRIC NON-CONGENITAL URETHROPLASTY AT A SINGLE TERTIARY CARE INSTITUTION James Ding, Sameer Mittal, Jason Van Batavia, Dana Weiss, Stephen Zderic, Mark Zaontz, Aseem Shukla, Arun Srinivasan, Christopher Long, and Robert Kovell James DingJames Ding More articles by this author , Sameer MittalSameer Mittal More articles by this author , Jason Van BataviaJason Van Batavia More articles by this author , Dana WeissDana Weiss More articles by this author , Stephen ZdericStephen Zderic More articles by this author , Mark ZaontzMark Zaontz More articles by this author , Aseem ShuklaAseem Shukla More articles by this author , Arun SrinivasanArun Srinivasan More articles by this author , Christopher LongChristopher Long More articles by this author , and Robert KovellRobert Kovell More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002530.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The dearth of studies regarding pediatric non-congenitally related urethroplasty leaves much information to be extrapolated from the adult population. The aim of this study is to evaluate outcomes for pediatric, non-congenital urethroplasty at a tertiary care center. METHODS: The EMR was queried for male pediatric (<18 y/o) patients who underwent urethroplasty (excluding those related to congenital disease) at one tertiary care institution between 2012-2020. Procedure success was defined as a) post-op uroflow improvement or RUG showing resolution of stricture, b) resolution of presenting symptoms, and c) no additional procedures performed. RESULTS: 25 pediatric patients underwent non-congenital urethroplasty during the study period (median age at surgery, 15.5 years). The majority of strictures had idiopathic etiology (64%) and were bulbar in location (84%). 7 (28%) patients underwent either dilation or DVIU prior to urethroplasty. 20 (80%) underwent EPA and 4 (20%) were treated with buccal grafting. One buccal graft underwent a staged procedure, with a tunica vaginalis flap used for the 2nd stage.22 (88%) of patients had a successful urethroplasty as previously defined. Median follow-up length was 5 months (IQR: 3-15.5). Of the non-successes, two had stricture recurrence (at 2- and 6-years post-op) requiring DVIU and repeat urethroplasty, respectively, while one had ongoing lower urinary tract symptoms despite a normal post-operative urethral caliber. CONCLUSIONS: This single-institution series supports the idea that non-congenitally related pediatric urethroplasties, while rare, are safely done and highly successful. Recurrence of strictures years out from initial surgeries demonstrate the importance of following this group long-term, particularly when defining surgical “success” with symptomatic/multi-factor criteria. Incorporating patient reported outcome measures, such as sexual function, is a promising area of future study, particularly for an adolescent population. Source of Funding: N/A © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e124 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information James Ding More articles by this author Sameer Mittal More articles by this author Jason Van Batavia More articles by this author Dana Weiss More articles by this author Stephen Zderic More articles by this author Mark Zaontz More articles by this author Aseem Shukla More articles by this author Arun Srinivasan More articles by this author Christopher Long More articles by this author Robert Kovell More articles by this author Expand All Advertisement PDF DownloadLoading ...