caa a22 4500 465772293 CHVBK 20180323111932.0 cr unu---uuuuu 170327e19900601xx s 000 0 eng 10.1007/BF00169667 doi (NATIONALLICENCE)springer-10.1007/BF00169667 Injury to the posterior urethra: management in children [Elektronische Daten] [G. Tryfonas, G. Georgiou, S. Gavopoulos, G. Tsikopoulos, C. Chaidos, P. Avtzoglou] Our experience with the management of ten children with posterior urethral rupture in the early phase is presented. In seven children (six boys and one girl) in whom a complete rupture had occurred, a suprapubic approach was used and a Foley catheter was passed as a splint after end-to-end primary anastomisis of the torn urethra. In three cases rupture was partial; one was iatrogenic and the others were traumatic. The former was managed by a perineal incision with urethral reconstruction and a cystostomy for urinary diversion. In one traumatic partial tear, simple catheterization through the external meatus was sufficient for perfect healing, while in the second after unsuccessful catheterization, a cystostomy for 2 weeks led to a satisfactory outcome. Three of the seven children with complete rupture developed strictures, which required one or more sounds; one of them also underwent two internal (visual) urethrotomies. All currently have stable stricture formation. One other boy with strictures, who is now 16 years of age, periodically needs bougienage and is completely impotent with probably diminished libido. Nine children now have normal micturition and in six boys erections have been established. Two have begun to ejaculate, but the rest are still too young for definite conclusions. We believe that for a completely disrupted urethra primary end-to-end anastomosis with a few approximating sutures over a Foley catheter placed as a splint is feasible in children and should be attempted as the procedure of choice. Springer-Verlag, 1990 Urethral rupture nationallicence Urethral strictures nationallicence Incontinence nationallicence Impotence nationallicence Pelvic trauma nationallicence Tryfonas G. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut Georgiou G. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut Gavopoulos S. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut Tsikopoulos G. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut Chaidos C. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut Avtzoglou P. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut Pediatric Surgery International Springer-Verlag 5/4(1990-06-01), 266-269 0179-0358 5:4<266 1990 5 383 https://doi.org/10.1007/BF00169667 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00169667 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tryfonas G. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Georgiou G. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Gavopoulos S. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Tsikopoulos G. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Chaidos C. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Avtzoglou P. Pediatric Surgical Clinic, Hippokratio General Hospital, Papanastasion 50, GR-54642, Thessaloniki, Greece aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/4(1990-06-01), 266-269 0179-0358 5:4<266 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer