Introduction:

Urethral strictures are rare in children leading to a lack of evidence based recommendations. Our aim is to report our results of the telescopic technique.

Patients and methods:

A retrospective study from 2010 to 2019 yieled ten patients with urethral stricture aged from 2 to 9 years old. Strictures following hypospadias surgery were excluded from the study. Patients were divided in 2 groups, the posttraumatic strictures with 8 patients in group 1 and iatrogenic strictures with 2 patients in group 2. The outcome of surgery was assessed by analyzing clinically the voiding stream and the voiding cystourethrogram.

Results: In the group 1, one patient of eight was a redo and all the patients were operated on using the telescopic technique through a perineal approach. Six patients had a good voiding stream and a full caliber urethral continuity without urethro-bladder stenosis but the redo patient failed with reccurrence of stenosis. In the group 2 one patient responded to dilatation but the second have a long segment stricture, we performed a buccal mucosa graft with a satisfactory voiding even with a slow stream.

Discussion:

Transpubic and transperineal approach are used by different authors. Different techniques of anastomosis are used to prevent stenosis. Telescopic anastomosis is a reliable technique for urethral stenosis.

Conclusion:

Telescopic anastomosis is a reliable technique for urethral stenosis without need of urethral dilatation. And iatrogenic strictures must be in mind to use carefully indwelling catheters.