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Transurethral operations in children can lead to complications, particularly in those with myelodysplasia. Careful consideration of indications and potential risks is crucial for these rare pediatric procedures.
Area of Science:
- Pediatric Urology
- Surgical Procedures
- Medical Complications
Context:
- Between 1976 and 1981, 111 transurethral operations were performed on 93 children.
- Procedures included bladder neck incisions/resections, urethrotomies, urethral valve resections, ureterocele incisions, bladder tumor biopsies, and bladder diverticulum resections.
Purpose:
- To discuss the indications and complications of rare transurethral operations in childhood.
- To highlight specific challenges encountered in pediatric surgical interventions.
Summary:
- Complications were notably higher in the myelodysplasia group.
- Multi-resistant bacteriuria was prevalent pre-therapy; hospital-acquired fungal infections occurred twice.
- One fatal outcome resulted from hydrocephalus drainage system malfunction post-resection.
Impact:
- This study underscores the importance of risk assessment for pediatric transurethral surgeries.
- Findings inform surgical decision-making and patient management in pediatric urology.
- Highlights the need for vigilance regarding infections and device-related complications in pediatric surgical patients.
Abstract:
From 1976 to 1981 111 transurethral operations were performed in 93 children; 39 bladder neck incisions or resections, 43 urethrotomies, 6 resections of urethral valves, 13 transversal incisions of ureteroceles, 7 transurethral biopsies in suspected bladder tumors and 3 resections of the neck of a bladder diverticulum were done. Complications were seen especially in the myelodysplasia-group. Multi-resistant bacteriuria was found in many children even before therapy. Hospital-induced fungal infections were seen twice. Malfunctioning of the hydrocephalus drainage-system developed once after transurethral resection and had a fatal outcome. Indication and complications of seldom done transurethral operations in childhood are discussed.