Endoscopic Management of Urethral Strictures in Children

Abstract

The management of urethral strictures in children prior to urethroplasty involves dilation and internal urethrotomy. Low success rates with these modalities led to the evaluation of visual urethrotomy and intralesional steroid injection. Of 12 patients so managed 10 achieved an excellent result, with 2 classified as having good results initially. These 2 cases were ultimately converted into the excellent category following repeat procedures. Noninvasive urinary flow rates proved invaluable in the management and assessment of these patients and the success of their treatment.