Advertisement

Pediatric Surgery International

, Volume 30, Issue 9, pp 945–949 | Cite as

Urethroscopic holmium: YAG laser ablation for acquired posterior urethral diverticulum after repair of anorectal malformations

  • Shinya TakazawaEmail author
  • Hiroo Uchida
  • Hiroshi Kawashima
  • Yujiro Tanaka
  • Takayuki Masuko
  • Kyoichi Deie
  • Hizuru Amano
  • Kenichiro Kobayashi
  • Minoru Tada
  • Tadashi Iwanaka
Technical Innovation

Abstract

Two patients with acquired posterior urethral diverticulum that is a complication of laparoscopic assisted anorectoplasty underwent urethroscopic holmium: YAG laser ablation. After the ablation therapies, the size of the diverticulum markedly decreased in both patients. Holmium: YAG laser is safe and easy to handle in the small pediatric urethra.

Keywords

Urethroscopy Holmium: YAG laser Anorectal malformation Residual fistula Posterior urethral diverticulum 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Georgeson KE, Inge TH, Albanese CT (2000) Laparoscopically assisted anorectal pull-through for high imperforate anus––a new technique. J Pediatr Surg 35:927–930PubMedCrossRefGoogle Scholar
  2. 2.
    Iwanaka T, Arai M, Kawashima H et al (2002) Laparoscopically assisted anorectal pull-through for rectocloacal fistula. Pediatr Endosurg Innov Tech 6:261–267CrossRefGoogle Scholar
  3. 3.
    Iwanaka T, Arai M, Kawashima H et al (2003) Findings of pelvic musculature and efficacy of laparoscopic muscle stimulator in laparoscopy-assisted anorectal pull-through for high imperforate anus. Surg Endosc 17:278–281PubMedCrossRefGoogle Scholar
  4. 4.
    Kudou S, Iwanaka T, Kawashima H et al (2005) Midterm follow-up study of high-type imperforate anus after laparoscopically assisted anorectoplasty. J Pediatr Surg 40:1923–1926PubMedCrossRefGoogle Scholar
  5. 5.
    Lin CL, Wong KKY, Lan LCL et al (2003) Earlier appearance and higher incidence of the rectoanal relaxation reflex in patients with imperforate anus repaired with laparoscopically assisted anorectoplasty. Surg Endosc 17:1646–1649PubMedCrossRefGoogle Scholar
  6. 6.
    Bischoff A, Levitt MA, Peña A (2011) Laparoscopy and its use in the repair of anorectal malformations. J Pediatr Surg 46:1609–1617PubMedCrossRefGoogle Scholar
  7. 7.
    Japanese Multicenter Study Group on Male High Imperforate Anus (2013) Multicenter retrospective comparative study of laparoscopically assisted and conventional anorectoplasty for male infants with rectoprostatic urethral fistula. J Pediatr Surg 48:2383–2388Google Scholar
  8. 8.
    Williams DI, Grant J (1969) Urological complications of imperforate anus. Br J Urol 41:660–665PubMedCrossRefGoogle Scholar
  9. 9.
    Uchida H, Iwanaka T, Kitano Y et al (2009) Residual fistula after laparoscopically assisted anorectoplasty: is it a rare problem? J Pediatr Surg 44:278–281PubMedCrossRefGoogle Scholar
  10. 10.
    Hong AR, Acuña MF, Peña A et al (2002) Urologic injuries associated with repair of anorectal malformations in male patients. J Pediatr Surg 37:339–344PubMedCrossRefGoogle Scholar
  11. 11.
    Alam S, Lawal TA, Peña A et al (2011) Acquired posterior urethral diverticulum following surgery for anorectal malformations. J Pediatr Surg 46:1231–1235PubMedCrossRefGoogle Scholar
  12. 12.
    Koga H, Kato Y, Shimotakahara A et al (2010) Intraoperative measurement of rectourethral fistula: prevention of incomplete excision in male patients with high-/intermediate-type imperforate anus. J Pediatr Surg 45:397–400PubMedCrossRefGoogle Scholar
  13. 13.
    Husmann DA, Allen TD (1997) Endoscopic management of infected enlarged prostatic utricles and remnants of rectourethral fistula tracts of high imperforate anus. J Urol 157:1902–1906PubMedCrossRefGoogle Scholar
  14. 14.
    Fujikawa K, Matsui Y, Fukuzawa S et al (1999) A case of female large urethral diverticulum treated by electrofulguration. Int J Urol 6:620–622PubMedGoogle Scholar
  15. 15.
    Saito S (2000) Usefulness of diagnosis by the urethroscopy under anesthesia and effect of transurethral electrocoagulation in symptomatic female urethral diverticula. J Endourol 14:455–457PubMedCrossRefGoogle Scholar
  16. 16.
    Bagrodia A, Gerecci D, Ramirez D et al (2012) Holmium laser endourethrotomy and litholapaxy of an occult prostatic utricle calculus. Can J Urol 19:6477–6479PubMedGoogle Scholar
  17. 17.
    Kramer MW, Bach T, Wolters M et al (2011) Current evidence for transurethral laser therapy of non-muscle invasive bladder cancer. World J Urol 29:433–442PubMedCrossRefGoogle Scholar
  18. 18.
    Yamada Y, Inoue Y, Nakamura K et al (2009) Long-term results and management of ureteral transitional cell carcinoma using the holmium: YAG laser via rigid-ureteroscopy. Oncol Rep 21:345–349PubMedGoogle Scholar
  19. 19.
    Al-Busaidy SS, Prem AR, Medhat M et al (2005) Holmium laser ablation of anterior urethral valves: case report. J Endourol 19:1210–1211PubMedCrossRefGoogle Scholar
  20. 20.
    Beiko D, Pierre SA, Leonard MP (2011) Urethroscopic holmium: YAG laser epilation of urethral diverticular hair follicles following hypospadias repair. J Pediatr Urol 7:231–232PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Shinya Takazawa
    • 1
    • 2
    Email author
  • Hiroo Uchida
    • 3
  • Hiroshi Kawashima
    • 1
  • Yujiro Tanaka
    • 1
  • Takayuki Masuko
    • 1
  • Kyoichi Deie
    • 1
  • Hizuru Amano
    • 1
  • Kenichiro Kobayashi
    • 4
  • Minoru Tada
    • 5
  • Tadashi Iwanaka
    • 2
  1. 1.Department of Pediatric SurgerySaitama Children’s Medical CenterSaitamaJapan
  2. 2.Department of Pediatric SurgeryThe University of Tokyo HospitalTokyoJapan
  3. 3.Department of Pediatric SurgeryNagoya University Graduate School of MedicineNagoyaJapan
  4. 4.Department of UrologyToshima HospitalTokyoJapan
  5. 5.Department of Pediatric UrologySaitama Children’s Medical CenterSaitamaJapan

Personalised recommendations