Clinical Application of Ureteroscope-Assisted Laparoscopic Surgery for Prostatic Utricle in Children

Purpose: To investigate the use of ureteroscope-assisted laparoscopic surgery (UALS) in treating symptomatic prostatic utricle (PU) in children. Materials and Methods: Data on surgically treated cases of PU at the Department of Urology in Hunan Children's Hospital between September 2014 and September 2022 were retrospectively collected and analyzed. The diagnosis was confirmed by cystourethroscopy followed by ureteroscopy, and PU was excised by ureteroscope-assisted laparoscopy. Results: A total of 21 patients with PU were enrolled in this study. The median age of the patients at surgery was 8.1 (4.6-11.5) years. Karyotyping was available for 15 children: 13 (86.7%) were 46XY, 1 (6.7%) was 45X/46XY, and 1 (6.7%) was 45X/46XY/47XYY. The median length of the PU was 5.0 (4.1-7.1) cm. Nineteen patients underwent only ureteroscope-assisted laparoscopic excision, whereas 2 also had a perineal incision. All excisions were successfully performed. The median intraoperative blood loss was 25.0 (20.0-37.5) mL. The median hospital stay and follow-up durations were 18.0 (14.5-25.0) days and 24.0 (13.5-49.0) months, respectively. The patients reported no postoperative clinical symptoms. Conclusion: UALS allows for accurate patient positioning and thorough exposure of the anatomical structures, and it is a safe, effective, and minimally invasive treatment for PU in children.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Journal of laparoendoscopic & advanced surgical techniques. Part A - 34(2024), 2 vom: 30. Feb., Seite 182-188

Sprache:

Englisch

Beteiligte Personen:

Hu, Jian-Jun [VerfasserIn]
Zhao, Yao-Wang [VerfasserIn]
Tu, Lei [VerfasserIn]
He, Tian-Qu [VerfasserIn]
Chen, Yi-Fu [VerfasserIn]
Wen, Rong [VerfasserIn]
Peng, Qian-Long [VerfasserIn]

Links:

Volltext

Themen:

Hypospadias
Journal Article
Laparoscopic
Prostatic utricle
Ureteroscope
Urinary tract infection

Anmerkungen:

Date Completed 19.02.2024

Date Revised 21.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/lap.2023.0055

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363949631