Outcome of pull-in procedure in children with severe post-disruption posterior urethral strictures

A total of 17 children aged 5 to 15 years with. the diagnosis of posttrauma tic posterior urethral stricture were operated upon using a pull-in procedu re during the last 9 years.. Among the diagnostic tools, synchronous inspec tion of both the anterior and posterior urethra by cystoscopy yielded the m ost valuable information. A success rate of 70% was achieved with the proce dure plus postoperative re-catheterization. A pedunculated tube prepared fr om the scrotal skin cured 2 patients after a series of failed operations. D ifficult voiding occurring after removal of the stent due to an inappropria te pressure gradient created between the bladder neck and urethra usually b enefits from shortterm catheterization. Mild chordee was present in 1 patie nt. Ejaculation and erection were present in 3 children who reached puberty .