Laparoscopic urethral dilatation for children The problem of narrowing of the urethra in children falls within the abnormalities of the urethra in the medical nomenclature or defects and deformities of the urethra in children. The urethra or urinary tract is outside the body, and leads to multiple complications if the treatment of urethral stricture in children is delayed due to urine retention and its failure to drain normally and at the required rates to the outside, and in this article, we talk about this problem in some detail, and about the causes of urethral narrowing in children Children of different types, methods of treating this problem, the process of dilating the urethra laparoscopically for children and the doctor specialized in performing it, and some other abnormalities that appear in the urethra or in the urethra in children, and so on.
What are the most important reasons that lead to narrowing of the urethra in children?
Urethral stricture is generally associated with two types of causes: congenital causes, and pathological or acquired causes. Usually, the causes of urethral stricture in children are of the first type, meaning that they are congenital causes from birth, and are not pathological complications or new or acquired factors, unlike strictures. that occurs in adults, which is usually associated with a new or acquired cause, and the following In general, we mention some of the factors that cause urethral stricture in children:
Chronic or recurring infections in the urethra, which eventually lead to damage to the tissues that make up the urethra wall, and eventually lead to narrowing of the urethra.
Severe trauma to the penis can sometimes lead to tissue damage and narrowing of the urethra.
This is considered an acquired or emerging factor, which is associated with narrowing of the urethra in adults more than it is associated with narrowing of the urethra in children, which is usually associated with congenital causes, meaning: that the narrowing of the urethra appears in a child from birth without exposure to any infections, trauma or Any other emerging factors.
How can parents monitor or detect this problem?
Parents can monitor or detect a urinary tract stricture problem as soon as they notice any of the following symptoms:
The exit of urine from the child in the form of spray, or in a continuous double path, or in a very precise path, or in any abnormal form.
Decreased number of urination times in a child.
The child cries a lot when urinating. This usually indicates a burning sensation or pain associated with urination, which suggests that there may be a problem with the urethra.
The appearance of s of blood in the diaper or in the child''s underwear, or urine mixed with s of blood.
And when carrying out the necessary medical examinations, ultrasound or TV rays may reveal an enlarged bladder or kidneys in a child, which indicates a weakness in urine drainage, which led to its retention and accumulation inside the bladder and kidneys, due to a problem in the urethra.
What are the complications of the problem of urethral stricture in children?
Once you notice one of the symptoms that we referred to in the previous paragraph Parents must quickly go to the specialist doctor to carry out the necessary examinations for the child, and then decide to perform the endoscopic urethral dilation operation as soon as the situation calls for it, because neglecting this problem may lead with time to very dangerous complications on the child’s urinary system. And on the quality of his life and health in general later, and these complications may lead to kidney failure at an early age, God forbid, or to severe painful ulcers in the urethra or in any other member of the urinary system, in addition to other problems in the kidneys. The circulatory system as a result of high levels of some elements and salts in the blood, and so on.
What are the ways to treat the problem of narrowing of the urethra in children?
The problem of urethral stricture in children is one of the problems that usually does not go away on its own, and cannot be cured medically, and surgical intervention is the only solution for it, through the process of dilating the urethra laparoscopically in the event that the narrowing is limited or small, but if the narrowing is large or extending a longitudinal distance from the urethra The process of expanding the urethra laparoscopically for children may not be the appropriate procedure with this type of case, and instead of it a process of repairing, restoring or rebuilding and shaping the urethra is used, which is a more complex process than the process of expanding the urethra laparoscopically for children, and it is done using skin patches with A certain thickness and a certain coefficient of expansion also from some specific areas of the body.
What is the appropriate age for laparoscopic urethral dilatation for children?
It is preferable to deal with deformities of the urethra in children in the age group between one year and one and a half years of age, if the deformity is congenital, because performing the operation at this early age provides the child and the doctor together with several advantages, namely:
At this age stage, the child has little movement compared to the later stages of life, and therefore it is easy to follow up on the situation after the operation and install the urinary catheter for a sufficient period without a problem, and so on.
At this age, the child''s sense of pain is less than his sense of pain in the later stages.
At this age, the degree of awareness of the child is less than what is the case after that, as well as his memory is weak, and therefore the surgical procedure will not cause any negative feelings for the child after that.
In addition, the bladder contractions in the early stages of life are weaker and less than what is the case after that, and thus performing the operation in the early stages of life allows for easy and calm recovery.
Performing the operation in the early stages of life also allows to improve the characteristics of the child''s penis relatively in terms of shape and length.
