Year 2019, Volume 13, Issue 3, Pages 126 - 129 2019-05-24

Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children
Pelvik Kırık ile Posterior Üretrada Ayrılma Defekti Olan Çocuklarda Tübülerize Bukkal Mukoza Greft Üretroplastisi

Doğuş GÜNEY [1]

36 107

Objective: Posterior urethral trauma is rare type of trauma that is particularly difficult to treat in children. Here, we have

presented our experience with tubularised buccal mucosal graft (BMG) repairs for posterior pelvic fracture urethral

distraction defects (PFUDDs) in children.

Material and Methods: We retrospectively evaluated three cases of tubularised BMG repairs for PFUDDs in our

clinic between 2009 and 2016. The BMGs were 3 cm in length, on average, and sutured between the stump of the

proximal prostatic urethra and the distal bulbar urethra. All of the patients underwent urethrography, urethroscopy and

uroflowmetry assessments postoperatively.

Results: The mean patient age was 9 (6–14) years and all three patients were male. Two of the three patients with

posterior urethral injuries were operated on at least twice at another centre and referred to our clinic with PFUDDs. All

three patients underwent tubularised BMG urethroplasties for the PFUDDs. We noted urethral integrity in the cystoscopic

evaluations of two of the patients, with no strictures, and these two patients were fully continent. A proximal anastomotic

contracture was noted in the third patient and a revision was required.

Conclusion: A tubularised BMG should be used to prevent penile shortening and anastomotic tension in a PFUDD.

Amaç: Posterior üretra travması çocuklarda tedavisi güçlük arz eden nadir bir travma tipidir. Burada pelvik kırık ile posterior
üretrada ayrılma defekti olan çocuklarda tübülerize bukkal mukoza greft üretroplastisi deneyimlerimiz sunulacaktır.
Gereç ve Yöntemler: Kliniğimizde 2009-2016 yılları arasında pelvik kırık ile posterior üretrada ayrılma defekti olan
tübülerize bukkal mukoza greft üretroplastisi onarımı yaptığımız üç olgumuz geriye dönük değerlendirildi. Ortalama 3
cm uzunluğundaki bukkal mukozal greftler proksimal ve distal üretra uçları arasına dikildi. Bütün hastalar postoperatif
dönemde üretragrafi, üreteroskopi ve uroflovmetri ile değerlendirildi.
Bulgular: Üçü de erkek olan olgularımız ortalama 9 (6-14) yaşındaydı. İki olgumuz posterior üretra yaralanması nedeni
ile başka merkezlerde en az iki kez opere edilip merkezimize refere edildi. Üç olgumuza pelvik kırık ile posterior üretrada
ayrılma defekti nedeni ile tübülerize bukkal mukoza greft üretroplastisi işlemi uygulandı. İki olgumuzda tam kontinasla
beraber sistoskopik değerlendirmede üretra bütünlüğünün darlık olmadan sağlandığı görüldü. Üçüncü olgumuzda ise
revizyon gerektiren proksimal anastomotik darlık mevcut idi.
Sonuç: Tübülerize bukkal mukoza penil kısalığı ve anastomatik gerginliği önlemek için pelvik kırık ile posterior üretrada
ayrılma defektlerinde kullanılabilinir.
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Primary Language en
Subjects General and Internal Medicine
Journal Section ORIGINAL ARTICLES
Authors

Author: Doğuş GÜNEY (Primary Author)

Bibtex @research article { tchd537985, journal = {Türkiye Çocuk Hastalıkları Dergisi}, issn = {1307-4490}, eissn = {2148-3566}, address = {University of Health Science Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital}, year = {2019}, volume = {13}, pages = {126 - 129}, doi = {10.12956/tjpd.2018.338}, title = {Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children}, key = {cite}, author = {GÜNEY, Doğuş} }
APA GÜNEY, D . (2019). Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children. Türkiye Çocuk Hastalıkları Dergisi, 13 (3), 126-129. DOI: 10.12956/tjpd.2018.338
MLA GÜNEY, D . "Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children". Türkiye Çocuk Hastalıkları Dergisi 13 (2019): 126-129 <http://dergipark.org.tr/tchd/issue/45426/537985>
Chicago GÜNEY, D . "Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children". Türkiye Çocuk Hastalıkları Dergisi 13 (2019): 126-129
RIS TY - JOUR T1 - Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children AU - Doğuş GÜNEY Y1 - 2019 PY - 2019 N1 - doi: 10.12956/tjpd.2018.338 DO - 10.12956/tjpd.2018.338 T2 - Türkiye Çocuk Hastalıkları Dergisi JF - Journal JO - JOR SP - 126 EP - 129 VL - 13 IS - 3 SN - 1307-4490-2148-3566 M3 - doi: 10.12956/tjpd.2018.338 UR - https://doi.org/10.12956/tjpd.2018.338 Y2 - 2018 ER -
EndNote %0 Turkish Journal of Pediatric Disease Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children %A Doğuş GÜNEY %T Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children %D 2019 %J Türkiye Çocuk Hastalıkları Dergisi %P 1307-4490-2148-3566 %V 13 %N 3 %R doi: 10.12956/tjpd.2018.338 %U 10.12956/tjpd.2018.338
ISNAD GÜNEY, Doğuş . "Tubularised Buccal Mucosal Graft Urethroplasty for Posterior Pelvic Fracture Urethral Distraction Defects in Children". Türkiye Çocuk Hastalıkları Dergisi 13 / 3 (May 2019): 126-129. https://doi.org/10.12956/tjpd.2018.338