[Treatment of ruptures of the posterior urethra in children? The value of the symphyseal approach].

Eight cases of rupture of the posterior urethra were observed in children and treated via a trans-symphyseal approach. Repair was easy in the cases seen rapidly (2 to 10 days), urethral suture was effective and the result was excellent. On the other hand, in cases seen later (6 cases), between 6 months and 5 years, marked fibrous callus had to be resected.

The value of split renal function in severe neonatal and infant pelviureteric obstruction managed by percutaneous nephrostomy.

A percutaneous nephrostomy (PCN) was inserted as part of the management in 17 newborns and infants with severe pelviureteric junction obstruction between 1981 and 1993. Nephrectomy was performed in eight cases and pyeloplasty in nine cases, successfully in six cases (mean follow-up: 7.7 years).

[Treatment of urethral fistulae following management of hypospadias].

Thirty six fistulas after hypospadias reconstruction, were operated on from 1989 to 1994. The procedure depends on the anatomical aspect of fistula. Simple fistulas of penis (33 cases) were operated by direct suture with two or three layers.

[Treatment of hypospadias of the glans penis and the prepuce by reconstruction of the urethra and prepuce].

The treatment of granular and subcoronal hypospadias is necessary mainly for psychological reasons. Anatomical reconstruction has to be perfect. This procedure provides reconstruction of urethra and foreskin thanks to an extensive dissection.

[Uretero-colonic implantation in children. Late results].

An uretereo-colic anastomosis in children is performed in three occasions: 1) The trans-intestinal cutaneous ureterostomy (Bricker) has a low rate of complications concerning ureterocolic anastomosis. Nevertheless, occurrence of pyelonephrites may oblige to perform an anti-reflux procedure. 2) Implantation of ureters in the intestinal segment of an augmentation colocystoplastys in unusual; when necessary, this type of implantation is safe because colon is appropriate for an antireflux procedure.