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Symphysiotomy: a valuable approach in children with prostate rhabdomyosarcoma

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Abstract

Surgery for large prostate rhabdoyasarcoma in children is a challenging procedure. We discussed the value of pubic symphysiotomy in affected patients. The symphysiotomy approach was used in two children with a large rhabdomyosarcoma of the prostate. In each case, the initial exposure was obtained through a lower midline incision, but, due to technical difficulties, resulting from the size of the tumor, surgery was completed via a symphysiotomy approach. In each case, the bladder was preserved and a radical prostatectomy was facilitated by the excellent exposure provided by the symphysiotomy. The patients have been followed for 6 years and 26 months, respectively. Both are tumor free. Neither has developed orthopedic complications. In conclusion, the symphysiotomy approach, for large prostate rhabdomyosarcoma in children, results in an excellent surgical exposure, thus, facilitating the performance of a radical prostatectomy with bladder preservation. Orthopedic complications have not developed throughout the follow up period.

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Acknowledgments

The authors acknowledge the help of Mrs. Cristina Pieretti for reviewing the language of this article.

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Authors and Affiliations

  1. Section of Pediatric Urology, Department of Pediatric Surgery, MassGeneral Hospital for Children, Boston, USA

    Rafael V. Pieretti

  2. Division of Pediatric Surgery, Department of Pediatric Surgery, MassGeneral Hospital for Children, Boston, USA

    Daniel P. Ryan

  3. Central University of Venezuela, Caracas, Venezuela

    Alberto Pieretti

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  1. Rafael V. Pieretti
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  2. Daniel P. Ryan
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  3. Alberto Pieretti
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Correspondence to Rafael V. Pieretti.

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Pieretti, R.V., Ryan, D.P. & Pieretti, A. Symphysiotomy: a valuable approach in children with prostate rhabdomyosarcoma. Pediatr Surg Int 26, 341–343 (2010). https://doi.org/10.1007/s00383-009-2522-8

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  • DOI: https://doi.org/10.1007/s00383-009-2522-8

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