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A transpubic approach for reconstructive surgery of genitourinary injuries and congenital malformations
Z H Kaliciński1, T Bokwa, W Perdzyński
1Department of Pediatric Surgery, Center of Postgraduate Education, Military Medical Academy, Warsaw, Poland.
Insights
The transpubic approach successfully reconstructed urethral and vaginal injuries and pelvic malformations in four children. This surgical technique achieved total reconstruction without complications, offering a viable solution for complex pediatric urogenital issues.
Area of Science:
- Pediatric surgery
- Urology
- Reconstructive surgery
Background:
- The transpubic approach is a complex surgical technique used for pelvic and urogenital reconstruction.
- Indications include traumatic injuries and congenital malformations affecting the urethra, vagina, and pelvis.
Observation:
- Four pediatric patients underwent transpubic surgery.
- Cases involved post-traumatic urethral stricture, urethral and vaginal disruption, epispadias with incontinence, and urethral diverticulum secondary to anal atresia.
Findings:
- The transpubic approach facilitated total reconstruction in all four cases.
- No complications related to symphysis restoration were observed post-surgery.
Implications:
- The transpubic approach is effective for complex pediatric urogenital reconstructions.
- This technique offers a safe and successful method for treating severe urethral and vaginal injuries and malformations.
Abstract:
Four children were operated on by the transpubic approach for injury to the vagina or urethra and to correct malformations within the pelvis minor. One boy had posttraumatic stricture of the urethra, and a girl presented with disruption of the urethra and vagina. One of two boys who had congenital malformations was treated for epispadias and incontinence; the other for a large urethral diverticulum caused by anal atresia. Total reconstruction was achieved, and no complications of symphysis restoration were observed.