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Endoscopy

  • Murat Ucar
  • Selcuk Keskin
  • Selcuk Yucel
Chapter
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)

Abstract

The endoscopy of the urinary system is commonly utilized for diagnostic purposes and treatment of both lower and upper urinary tract system diseases in children and neonates. Achieving a high success and a low complication rate in pediatric urological endoscopy depends on surgeon’s expertise and availability of endoscopic instruments and surgical suit setup.

Pediatric urological endoscopy should be performed with proper sized rigid and flexible endoscopes, in a surgical suit specifically set up for pediatric age patients. The recent improvements in the pediatric endoscopic instruments have facilitated further diagnostic and therapeutic endoscopic procedures.

Pediatric urologic endoscopy is used for evaluation and concomitant treatment of conditions such as urethral stricture, posterior urethral valve, urethral diverticula, urethral duplication, utricular cyst, urethral polyps, bladder polyps or tumors, bladder neck stenosis, ureterocele, duplicated collecting system, vesicoureteral reflux, neurogenic bladder, bladder diverticula, bladder Botox injection, evaluation of hematuria, etc. in children who presented voiding dysfunction symptoms and signs.

Keywords

Endoscopy Pediatric urology Cystoscopy Incontinence Urodynamics Urethra Bladder Neurogenic Reflux 

References

  1. 1.
    Mirone V, Franco M. Clinical aspects of antimicrobial prophylaxis for invasive urological procedures. J Chemother. 2014;26(Suppl 1):1–13.  https://doi.org/10.1179/1120009X14Z.000000000232.CrossRefGoogle Scholar
  2. 2.
    Bootsma AM, Laguna Pes MP, Geerlings SE, Goossens A. Antibiotic prophylaxis in urologic procedures:a systematic review. Eur Urol. 2008;54(6):1270–86.  https://doi.org/10.1016/j.eururo.2008.03.033.CrossRefPubMedGoogle Scholar
  3. 3.
    Walsh PC, Retik AB, Vaughan ED, Wein AJ. Campbell-Walsh Urology. In: Docimo SG, Peters CA, editors. Pediatric Endourology and laparoscopy. 9th ed. Philadelphia: Saunders; 2007. p. 131.Google Scholar
  4. 4.
    Hsiao KC, Baez-Trinidad L, Lendvay T, Smith EA, Broecker B, Scherz H, Kirsch AJ. Direct vision internal urethrotomy for the treatment of pediatric urethral strictures: analysis of 50 patients. J Urol. 2003;170(3):952–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Snodgrass W, Villanueva C, Bush NC. Duration of follow-up to diagnose hypospadias urethroplasty complications. J Ped Urol. 2014;10:208–11.CrossRefGoogle Scholar
  6. 6.
    Gargollo PC, Cai AW, Borer JG, Retik AB. Management of recurrent urethral strictures after hypospadias repair: is there a role for repeat dilation or endoscopic incision? J Ped Urol. 2011;7:34–8.CrossRefGoogle Scholar
  7. 7.
    Husmann DA, Rathbun SR. Long-term Followup of visual internal Urethrotomy for Management of Short (less than 1 cm) penile urethral strictures following hypospadias repair. J Urol. 2006;176:1738–41.CrossRefPubMedGoogle Scholar
  8. 8.
    Launonen E, Sairanen J, Ruutu M, Taskinen S. Role of visual internal urethrotomy in pediatric urethral strictures. J Ped Urol. 2014;10:545–9.CrossRefGoogle Scholar
  9. 9.
    Issı Y, Bıçakçı Ü, Yağız B, Germiyanoğlu C, Arıtürk E and Bernay F. Transurethral ıncısıon of anterıor urethral dıvertıculum (syringocele) 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU. https://www.espu.org/images/documents/mc_Abstract_book_ESPU_2015.pdfGoogle Scholar
  10. 10.
    Prakash J, Dalela D, Goel A, Singh V, Kumar M, Garg M, Mandal S, Sankhwar SN, Paul S, Singh BP. Congenital anterior urethral valve with or without diverticulum: a single-centre experience. J Ped Urol. 2013;9:1183–7.CrossRefGoogle Scholar
  11. 11.
    Kibar Y, Coban H, Irkılata HC, Erdemir F, Seckin B, Dayanc M. Anterior urethral valves: an uncommon cause of obstructive uropathy in children. J Ped Urol. 2007;3:350–3.CrossRefGoogle Scholar
  12. 12.
    Routh JC, McGee SM, Ashley RA, Reinberg Y, Vandersteen DR. Predicting renal outcomes in children with anterior urethral valves: a systematic review. J Urol. 2010;184:1615–9.CrossRefPubMedGoogle Scholar
  13. 13.
    Zia-ul-Miraj M. Anterior urethral valves: a rare cause of Infravesical obstruction in children. J Ped Surg. 2000;35(4):556–8.CrossRefGoogle Scholar
  14. 14.
    Desautel MG, Stock J, Hanna MK. Mullerıan duct remnants: surgıcal management and fertılıty ıssues. J Urol. 1999;162:1008–14.CrossRefPubMedGoogle Scholar
  15. 15.
    Coppens L, Bonnet P, Andrıanne R, Leval J. Adult mullerıan duct or utrıcle cyst: clınıcal sıgnıfıcance and therapeutıc management of 65 cases. J Urol. 2002;167:1740–4.CrossRefPubMedGoogle Scholar
  16. 16.
    Priyadarshi V, Singh JP, Mishra S, Vijay MK, Pal DK, Kundu AK. Prostatic utricle cyst: a clinical dilemma. APSP J Case Rep. 2013;4(2):16.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Akbarzadeh A, Khorramirouz R, Kajbafzadeh AM. Congenital urethral polyps in children: report of 18 patients and review of literature. J Pediatr Surg. 2014;49(5):835–9.  https://doi.org/10.1016/j.jpedsurg.2014.02.080.CrossRefPubMedGoogle Scholar
  18. 18.
    Hodges SJ, Patel B, McLorie G, Atala A. Posterior urethral valves. The Scientific world J. 2009;9:1119–26.CrossRefGoogle Scholar
  19. 19.
    Orumuah AJ, Oduagbon OE. Presentation, management, and outcome of posterior urethral valves in a Nigerian tertiary hospital. Afr J Paed Surg. 2015;12:18–22.CrossRefGoogle Scholar
  20. 20.
    Hodges SJ, Patel B, McLorie G, Atala A. Posterior urethral valves. The Scientific World J. 2009;9:1119–26.CrossRefGoogle Scholar
  21. 21.
    Lopez PJ, Celis S, Reed F, Zubieta R. Vesicoureteral reflux: current management in children. Curr Urol Rep. 2014;15(10):447.  https://doi.org/10.1007/s11934-014-0447-9.CrossRefPubMedGoogle Scholar
  22. 22.
    Fanos V, Cataldi L. Antibiotics or surgery for vesicoureteric reflux in children. Lancet. 2004;364:1720–2.CrossRefPubMedGoogle Scholar
  23. 23.
    Tekgül S, Riedmiller H, Hoebeke P, Kočvara R, Nijman RJ, Radmayr C, Stein R, Dogan HS, European Association of Urology. EAU guidelines on vesicoureteral reflux in children. Eur Urol. 2012;62(3):534–42.  https://doi.org/10.1016/j.eururo.2012.05.059.CrossRefPubMedGoogle Scholar
  24. 24.
    Rawat J, Rashid KA, Kanojia RP, Kureel SN, Tandon RK. Diagnosis and management of congenital bladder diverticulum in infancy and childhood: experience with nine cases at a tertiary health center in a developing country. Int Urol Nephrol. 2009;41(2):237–42.  https://doi.org/10.1007/s11255-008-9443-7.CrossRefPubMedGoogle Scholar
  25. 25.
    Psutka SP, Cendron M. Bladder diverticula in children. J Pediatr Urol. 2013;9(2):129–38.  https://doi.org/10.1016/j.jpurol.2012.02.013.CrossRefPubMedGoogle Scholar
  26. 26.
    Garat JM, Angerri O, Caffaratti J, Moscatiello P, Villavicencio H. Primary congenital bladder diverticula in children. Urology. 2007;70(5):984–8.CrossRefPubMedGoogle Scholar
  27. 27.
    Timberlake MD, Corbett ST. Minimally invasive techniques for management of the ureterocele and ectopic ureter: upper tract versus lower tract approach. Urol Clin North Am. 2015;42(1):61–76.  https://doi.org/10.1016/j.ucl.2014.09.006.CrossRefPubMedGoogle Scholar
  28. 28.
    Merlini E, Lelli CP. Obstructive ureterocele-an ongoing challenge. World J Urol. 2004;22(2):107–14.CrossRefPubMedGoogle Scholar
  29. 29.
    Sander JC, Bilgutay AN, Stanasel I, Koh CJ, Janzen N, Gonzales ET, Roth DR, Seth A. Outcomes of endoscopic incision for the treatment of ureterocele in children at a single institution. J Urol. 2015;193(2):662–6.  https://doi.org/10.1016/j.juro.2014.08.095.CrossRefPubMedGoogle Scholar
  30. 30.
    Shokeir AA, Nijman RJ. Ureterocele: an ongoing challenge in infancy and childhood. BJU Int. 2002;90(8):777–83.CrossRefPubMedGoogle Scholar
  31. 31.
    Patel R, Tery T, Ninan GK. Transitional cell carcinoma of the bladder in first decade of life. Pediatr Surg Int. 2008;24(11):1265–8.  https://doi.org/10.1007/s00383-008-2251-4.CrossRefPubMedGoogle Scholar
  32. 32.
    Korrect GS, Minevich EA, Sivan B. High-grade transitional cell carcinoma of the pediatric bladder. J Pediatr Urol. 2012;8(3):36–8.  https://doi.org/10.1016/j.jpurol.2011.10.024.CrossRefGoogle Scholar
  33. 33.
    Aguiar L, Danialan R, Kim C. A case of high-grade transitional cell carcinoma of the bladder in a pediatric patient with turner syndrome. Urology. 2015;85(6):1477–9.  https://doi.org/10.1016/j.urology.2014.12.038.CrossRefPubMedGoogle Scholar
  34. 34.
    Chancellor MB, Elovic E, Esquenazi A, Naumann M, Segal KR, Schiavo G, Smith CP, Ward AB. Evidence-based review and assessment of botulinum neurotoxin for the treatment of urologic conditions. Toxicon. 2013;67:129–40.  https://doi.org/10.1016/j.toxicon.2013.01.020.CrossRefPubMedGoogle Scholar
  35. 35.
    Hassouna T, Gleason JM, Lorenzo AJ. Botulinum toxin A's expanding role in the management of pediatric lower urinary tract dysfunction. Curr Urol Rep. 2014;15(8):426.  https://doi.org/10.1007/s11934-014-0426-1.CrossRefPubMedGoogle Scholar
  36. 36.
    Figueroa V, Romao R, Pippi Salle JL, Koyle MA, Braga LH, Bagli DJ, Lorenzo AJ. Single-center experience with botulinum toxin endoscopic detrusor injection for the treatment of congenital neuropathic bladder in children: effect of dose adjustment, multiple injections, and avoidance of reconstructive procedures. J Pediatr Urol. 2014;10(2):368–73.  https://doi.org/10.1016/j.jpurol.2013.10.011.CrossRefPubMedGoogle Scholar
  37. 37.
    Game X, Mouracade P, Chartier-Kastler E, Viehweger E, Moog R, Amarenco G, Denys P, De Seze M, Haab F, Karsenty G, Kerdraon J, Perrouin-Verbe B, Ruffion A, Soler JM, Saussine C. Botulinum toxin-a (Botox) intradetrusor injections in children with neurogenic detrusor overactivity/neurogenic overactive bladder: a systematic literature review. J Pediatr Urol. 2009;5(3):156–64.  https://doi.org/10.1016/j.jpurol.2009.01.005.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Murat Ucar
    • 1
  • Selcuk Keskin
    • 2
  • Selcuk Yucel
    • 2
  1. 1.Department of Urology, Section of Pediatric UrologySaglik Bilimleri University Tepecik Training and Research HospitalİzmirTurkey
  2. 2.Department of UrologyAcıbadem University School of MedicineİstanbulTurkey

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