Abstract
The approach for the intravesical suspicious lesions or stones in the preadolescent children especially in boys is still a challenging problem. Open surgery, percutaneous suprapubic endoscopy or transurethral endoscopic approaches are the treatments of choice in children. However, there is a group in children between the ages of 10 and 12 years, which can be named as grey zone population; the length of the instruments is insufficient for transurethral intervention such as endoscopic stone extraction, transurethral bladder tumor resection especially for the lesion at the posterior bladder wall in this group. The aim of this study is to describe a new technique using laparoscopic instruments for percutaneous bladder stone and tumoral lesion and determines the efficacy of this procedure. Satisfactory results have been obtained in patients with these pathologies. In selected cases, operation time, urethral and mucosal damage, hospital stay, and cost can be decreased to a minimum with this simple technique.
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References
Salah MA, Holman E, Toth C (2001) Percutaneous suprapubic cystolithotripsy for pediatric bladder stones in developing countries. Eur Urol 39:466–470
Ikari O, Netto NR, D’Ancona CAL, Palma PCR (1993) Percutaneous treatment of bladder stones. J Urol 149(6):1499–1500
Van Savage JG, Khoury AE, McLorie GA, Churchill BM (1996) Percutaneous vacuum vesicolithotomy under direct vision: a new technique. J Urol 156 (2 Pt 2):706–708
Elder JS (1997) Percutaneous cystolithotomy with endotracheal tube tract dilatation after urinary tract reconstruction. J Urol 157 (6):2298–2300
Miller DC, Park JM (2003) Percutaneous cystolithotomy using a laparoscopic entrapment sac. Urology 62:333–336
Mor Y, Hitchcock JI, Zaidi SZ, Quimby GF, Duffy PG, Ransley PG, Mouriquand PDE (1997) Blader hemangioma as a cause of massive hematuria in a child. Scand J Urol Nephrol 31:305–307
Ikeda T, Shimamoto K, Tanji N, Ohoka H, Nishio S, Yokoyama M, Ikeda M (2004) Cavernous hemangioma of the urinary bladder in an 8-year-old child. Int J Urol 11(6):429–431
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Kibar, Y., Irkılata, H.C., Çoban, H. et al. Combined use of percutaneous and transurethral instruments in the preadolescent children with intravesical pathologies. Int Urol Nephrol 39, 775–778 (2007). https://doi.org/10.1007/s11255-006-9115-4
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DOI: https://doi.org/10.1007/s11255-006-9115-4