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Year : 1998  |  Volume : 14  |  Issue : 1  |  Page : 37-39

Higher incidence of urethral strictures following dry fulguration of posterior urethral values : a myth or reality


Department of Paediatric Surgery, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
S Agarwal
Department of Paediatric Surgery, All Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


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This retrospective analysis was done on 48patients who had undergone a dry fulguration for the treatment of posterior urethral valves (PUV) over the past 23 years. The patients were evaluated for the effectiveness of treatment and complications, particularly stricture formation. 31 (64.5 percent) patients had a vesicostomy and 17 (35.5 percent) patients had bilateral (B/L) ureterostomies at the time of fulguration. Only 2 patients developed urethral stricture (42 percent). Of these 2 patients, 1 suffered urethral injury during attempted valve destruction at 3 months' age; the procedure was abandoned and a vesicostomy fashioned. He subsequently underwent fulguration at 1 year age. The other patient had undergone a dry fulguration at 10 months' ageand had no apparent reason for the stricture. We believe that although dry fulguration of PUV should be avoided, it can be performed safely and effectively and need not be accompanied with a simultaneous undiversion procedure.


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