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CONGRESS OF THE ESPU
13:55–13:58
S16-5 (PP)
URETHRAL STRICTURE IN THE LONG-TERM
FOLLOW-UP OF PATIENTS WITH DSD SUBMITTED
TO HYPOSPADIAS REPAIR
Min Jeong BAG
1
, Maria Helena PALMA SIRCILI
1
, Sorahia DOMENICE
2
,
Elaine COSTA
2
, Berenice MENDONÇA
2
and Francisco T DÉNES
1
1) Hospital das Clinicas - FMUSP, Urology, São Paulo, BRAZIL - 2) Hospital das Clinicas - FMUSP, Endocrinology,
São Paulo, BRAZIL
PURPOSE
Urethral stricture (US) is a complication of hypospadias repair. Our aim is to evaluate the incidence
of US in the long-term follow-up of DSD patients submitted to this procedure.
MATERIAL AND METHODS
We reviewed 65 DSD patients submitted to proximal hypospadias repair, regarding the presence
of US and its management. Surgeries were performed between 1965 and 2006 and a two-staged
repair was performed in 95.5% of the cases. Non-parametrical analysis was done when comparing
groups of patients with and without US.
RESULTS
US was found in 15 (23%) patients, all of them were primarily submitted to a two-staged surgery.
The median time between stages in the group with US was 8 (5-24) months, which did not signifi-
cantly differ from the group without US. The median age at the first stage was 13 (1-34) years in the
group with US, and 5 (1-47) years in the group without US, which is statistically significant. Three
(20%) patients with US presented obstructive symptoms for the first time 20 years after surgery.
Successful treatment of US was achieved with dilatations in 8 patients (53.3%), while 2 (13.3%)
needed endoscopic urethrotomy and 5 (33.5%) required surgical correction, one of them (6.7%)
undergoing an acellular matrix transplantation after many failed surgeries.
CONCLUSIONS
US is a common complication in hypospadias repair and it can be symptomatic for the first time after
decades. It is mostly found in cases operated at older age. Urethral dilatation should be the first
option for treatment, considering surgical urethral reconstruction in complex cases.
13:58–14:03
S16-6 (VP)
★
LAPAROSCOPIC VAGINAL PULL THROUGH FOR LONG
GAP CONGENITAL VAGINAL ATRESIA
Daniela GORDUZA, Daniel RAUDRANT, Pierre MOURIQUAnd and Pierre Yves MURE
Hospices Civils de Lyon - Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon, FRANCE
INTRODUCTION
Vagino-perineal anastomosis for girls with distal vaginal atresia with long gap is a challenging pro-
cedure. Combined laparoscopic approaches and perineal anastomosis could be useful to facilitate
the lowering of the upper remaining vagina and minimized perineal dissection.