{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T09:47:52Z","timestamp":1766137672431,"version":"3.40.4"},"reference-count":16,"publisher":"S. Karger AG","issue":"11-12","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2021]]},"abstract":"<b><i>Introduction:<\/i><\/b> Trans-perineal urethroplasty is the preferred treatment for distraction urethral injuries in adults. However, management of such injuries in children is challenging because of functional implications in a growing child. In the present study, we aim to evaluate the safety and efficacy of perineal urethroplasty for distraction urethral injuries in children. <b><i>Methods:<\/i><\/b> The medical records of prepubertal pediatric patients (age &#x3c;14 years) with traumatic urethral distraction injuries managed by perineal urethroplasty were retrospectively reviewed and analyzed with respect to demographics, stricture characteristics, management, complications, follow-up, and outcome. <b><i>Results:<\/i><\/b> A total of 14 patients were included in the study. Ten had membranous, and 4 had bulbar urethral strictures. All membranous strictures were secondary to pelvic trauma; bulbar strictures were secondary to blunt perineal trauma; 7 patients had associated pelvic fractures. Anastomotic urethroplasty was used in 10 patients (71.4%) and buccal mucosal graft urethroplasty was done in 4 patients (38.6%). The mean follow-up duration was 56 months (range 24\u201376). Surgery was primarily successful in 85.7%. Failed repair in 2 patients was successfully managed with augmented anastomotic urethroplasty. Post-operatively, the mean maximal urinary flow rate was 26.4 mL\/s. No significant complications occurred. All boys are continent. There was no chordee or urethral diverticula, during follow-up. <b><i>Conclusion:<\/i><\/b> In pediatric patients, bulbar and membranous strictures can be treated successfully with urethroplasty using the perineal approach. Longer follow-up is needed to confirm that these good results are maintained as these patients cross into adulthood, especially as these repairs were done before puberty. <\/jats:p>","DOI":"10.1159\/000515612","type":"journal-article","created":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T21:03:59Z","timestamp":1618347839000},"page":"1024-1028","source":"Crossref","is-referenced-by-count":8,"title":["Safety and Efficacy of Trans-Perineal Urethroplasty for Management of Post-Traumatic Urethral Strictures in Pediatric Age-Group"],"prefix":"10.1159","volume":"105","author":[{"given":"Radheshyam","family":"Chaudhari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irfan","family":"Shaikh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukund","family":"Andankar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemant","family":"Pathak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2021,4,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000154971.05286.81"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4103\/jiaps.JIAPS_146_17"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(91)80177-9"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00005"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05309.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(17)52641-5"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199807000-00072"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.09.010"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(17)60459-2"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.1950.tb02547.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(17)44843-9"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.11.014"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/2090598X.2020.1716294"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000091642.41368.f5"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000033912.05183.c3"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000151339.42841.6e"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/515612","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/515612","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:36:16Z","timestamp":1745426176000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000515612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":16,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2021,10,29]]},"published-print":{"date-parts":[[2021,10,26]]}},"URL":"https:\/\/doi.org\/10.1159\/000515612","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2021]]}}}