Mechanism of Urethral Injury in Children and Anatomical Limitations for Urethral Reconstruction скачать в хорошем качестве

Mechanism of Urethral Injury in Children and Anatomical Limitations for Urethral Reconstruction

Margit Fisch, MD, FEAPU, FEBU, explores the complexities of urethral stricture disease in children, emphasizing the differences in management compared to adults. In this 17-minute presentation, Dr. Fisch explains that pediatric urethral strictures are rare. Diagnosis requires retrograde urethrograms, voiding cystourethrograms, and cystoscopy under anesthesia, with MRI offering additional insights for posterior strictures. Dr. Fisch explains that treatment outcomes vary based on location and etiology. End-to-end anastomosis is the preferred approach for short strictures, while graft-based repairs using buccal mucosa or skin are viable for more extensive defects when primary anastomosis is not feasible. Posterior urethral strictures, often associated with pelvic trauma, require perineal or transpubic approaches. She shares that functional outcomes, particularly erectile function and continence, remain underreported, highlighting the need for long-term follow-up. Dr. Fisch underscores the anatomical challenges of pediatric urethral reconstruction, emphasizing the need for specialized techniques to optimize success. She asserts ongoing research is necessary to refine surgical approaches and assess the long-term impact on sexual and urinary function into adulthood. Don't forget to join the GRU Community: https://grandroundsinurology.com/regi... Follow us on Twitter/X: https://x.com/GRUrology And like and subscribe to us here on YouTube!