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Nd-YAG laser core-through urethrotomy in obliterative posttraumatic urethral strictures in children

P N Dogra1, G Nabi

  • 1Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, 110029 New Delhi, India. dograpn@hotmail.com

Pediatric Surgery International
|October 28, 2003
PubMed

Insights

Nd-YAG laser core-through urethrotomy is a safe and effective treatment for pediatric obliterative posttraumatic urethral strictures. This minimally invasive procedure showed success in all patients, enabling normal voiding without complications.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Laser Therapeutics

Background:

  • Obliterative posttraumatic urethral strictures pose management challenges in children.
  • Previous surgical interventions may have limited success or carry risks.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of Neodymium-doped Yttrium Aluminum Garnet (Nd-YAG) laser core-through urethrotomy.
  • To assess outcomes in pediatric patients with posttraumatic urethral strictures.

Main Methods:

  • Retrospective analysis of 61 patients with posttraumatic urethral strictures, including 10 children (ages 5-15).
  • Nd-YAG laser core-through urethrotomy performed using a 600-micrometer bare-contact fiber as a daycare procedure.
  • Patients managed with suprapubic cystostomy (mean 12 months) for strictures (mean length 2 cm).

Main Results:

  • Successful outcomes in all pediatric patients with no intraoperative or postoperative complications.
  • All patients achieved symptom-free voiding post-procedure.
  • A subset of patients (4) required repeat optical urethrotomy or endoscopic dilatation.

Conclusions:

  • Nd-YAG laser core-through urethrotomy is a safe and effective treatment modality for pediatric obliterative posttraumatic urethral strictures.
  • The procedure offers a minimally invasive approach with favorable outcomes.

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