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Byline: D. Erol (1), L. Emir (1), C. Germiyanoglu (1) Keywords: KeywordsaPosttraumatic urethral stricture; Pull-in procedure Abstract: aA total of 17 children aged 5 to 15years with the diagnosis of posttraumatic posterior urethral stricture were operated upon using a pull-in procedure during the last 9years. Among the diagnostic tools, synchronous inspection of both the anterior and posterior urethra by cystoscopy yielded the most valuable information. A success rate of 70% was achieved with the procedure plus postoperative re-catheterization. A pedunculated tube prepared from the scrotal skin cured 2 patients after a series of failed operations. Difficult voiding occurring after removal of the stent due to an inappropriate pressure gradient created between the bladder neck and urethra usually benefits from short-term catheterization. Mild chordee was present in 1 patient. Ejaculation and erection were present in 3 children who reached puberty. Author Affiliation: (1) Department of Urology, Ankara Research and Training Hospital, Ministry of Health, Ankara, Turkey, TR (2) 58 Sokak, 41/6, Emek-Ankara, Turkey, TR Article note: Accepted: 19 June 2000

Byline: S. J. Karmarkar (1) Keywords: KeywordsaPosterior urethral valves; Prenatal diagnosis; Incontinence; Fertility Abstract: aAlthough the techniques for valve resection have been refined and the short-term management of patients with posterior valves has improved remarkably, there is growing concern about long-term outcome. Prenatal diagnosis has added to the urgency of predicting long-term outcome. This paper reviews all the important long-term data available with the aim of providing a concise picture for the reader, vis-a-vis long-term renal function, the role of proximal diversion in long-term outcome, bladder function and incontinence, the place of renal transplantation, prenatal diagnosis, intervention and prediction of renal function and sexual function and fertility. Author Affiliation: (1) Department of Pediatric Surgery, Bai Jerbai Wadia Hospital for Children, Parel Mumbai 12, India, IN Article note: Accepted: 8 May 2000