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Surgical Management of Meatal Stenosis with Meatoplasty
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Long-term risks of childhood surgery.

Gunter De Win1, Laetitia De Kort2, Hazel Learner3

  • 1University Hospital Antwerp, Department of Urology, Edegem, Belgium; ASTARC, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Adolescent & Congenital Lifelong Urology, University College London Hospitals, London, UK.

Journal of Pediatric Urology
|July 24, 2023
PubMed
Summary

Adults who had pediatric urological surgery face long-term issues like infections and kidney problems. Lifelong monitoring in specialized centers is crucial for managing these late complications.

Keywords:
Adolescent urologyAugmented bladdersComplicationsExstrophyPregnancy

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Area of Science:

  • Pediatric Urology
  • Adult Urology
  • Congenital Anomalies

Background:

  • Major reconstructive pediatric urological surgery can lead to long-term complications in adulthood.
  • Lifelong follow-up is essential for patients with congenital urological conditions.

Purpose of the Study:

  • To provide an overview of the long-term consequences of childhood urological surgery.
  • To outline management strategies for late-onset complications.

Main Methods:

  • Consensus process involving experienced pediatric urologists.
  • Literature review and expert commentary on complications of childhood urological surgery.

Main Results:

  • Common long-term issues include renal impairment, metabolic disturbances, bladder stones, Vitamin B12 deficiency, and recurrent infections.
  • Challenges in management involve ureteric strictures, catheterizable channel issues (obstruction/incontinence), female sexuality, pregnancy, and secondary malignancies.

Conclusions:

  • Management of rare congenital conditions requires specialized, lifelong follow-up.
  • Revisional surgery for these conditions is complex and necessitates care in specialized centers.