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Interventional urethral balloon dilatation before endoscopic visual internal urethrotomy for post-traumatic bulbous urethral stricture: A case report

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Author(s)
Ji Yong HaMu Sook Lee
Keimyung Author(s)
Ha, Ji YongLee, Mu Sook
Department
Dept. of Urology (비뇨의학)
Dept. of Radiology (영상의학)
Journal Title
World J Clin Cases
Issued Date
2022
Volume
10
Issue
34
Keyword
Case reportEndoscopic visual internal urethrotomyInterventional radiologyUrethral balloon dilatationUrethral strictureUrethroplasty
Abstract
Background:
While several treatment options are available for pediatric urethral strictures, the appropriate treatment must be based on several factors. Although endoscopic visual internal urethrotomy (EVIU) could be a first-line treatment option for short pediatric urethral strictures, it is not feasible if the urethroscope cannot pass through the stricture point. Herein, we present a pediatric case of severe post-traumatic bulbous urethral stricture that was successfully treated by EVIU after securing the urethral route via interventional balloon dilatation.

Case summary:
A 12-year-old boy presented at our outpatient clinic with the inability to urinate. He had sustained a straddle injury three months prior. The post-void residual urine volume was 644 mL, and retrograde urethrography confirmed severe stricture of the bulbous urethra. EVIU was planned; however, the first attempt to treat the stricture failed because the urethroscope could not pass through the stricture point. The urethral route was subsequently secured via balloon dilatation of the stricture, which was performed in collaboration with specialists from the department of interventional radiology. The urethroscope was then able to pass, and the repeat EVIU was successful.

Conclusion:
Interventional urethral balloon dilatation before EVIU may help secure the urethral route in the treatment of pediatric urethral strictures.
Keimyung Author(s)(Kor)
하지용
이무숙
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2307-8960
Source
https://www.wjgnet.com/2307-8960/full/v10/i34/12787.htm
DOI
10.12998/wjcc.v10.i34.12787
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44786
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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