Acquired posterior urethral diverticulum following surgery for anorectal malformations.
J Pediatr Surg
; 46(6): 1231-5, 2011 Jun.
Article
in En
| MEDLINE
| ID: mdl-21683228
ABSTRACT
PURPOSE:
Despite significant advances in the surgical management of anorectal malformations (ARMs), many children still experience significant debilities from potentially avoidable complications. One complication, the posterior urethral diverticulum, may have untoward consequences if not recognized and treated.METHODS:
A retrospective cohort review was undertaken of male patients who presented to us with persistent problems after being operated on elsewhere for ARM. Twenty-nine patients presented with a urethral diverticulum. Their charts were reviewed for the type of malformation, prior repair, presentation, treatment, and postoperative follow-up.RESULTS:
Twenty-nine patients were identified that fit the criteria for this study. To date, 28 patients have been managed with reoperation. Urinary complaints were the most common presenting symptoms. All patients were repaired using a posterior sagittal approach. Pathology of the diverticulum in one patient revealed a well-differentiated mucinous adenocarcinoma.CONCLUSION:
The incidence of acquired posterior urethral diverticulum has decreased with the popularization of the posterior sagittal incision. There is a theoretical concern that the incidence may increase with the use of laparoscopy for the treatment of ARMs especially those where the fistula is below the peritoneal reflection. Once detected, the diverticulum should be excised.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anus, Imperforate
/
Urethral Diseases
/
Diverticulum
/
Plastic Surgery Procedures
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Child
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Child, preschool
/
Humans
/
Infant
/
Male
Language:
En
Journal:
J Pediatr Surg
Year:
2011
Document type:
Article
Affiliation country:
United States