Skip to main content

Advertisement

SpringerLink
Log in

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

  • Technical Innovation
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Georgeson KE, Inge TH, Albanese CT (2000) Laparoscopically assisted anorectal pull-through for high imperforate anus––a new technique. J Pediatr Surg 35:927–930

    Article  CAS  PubMed  Google Scholar 

  2. Iwanaka T, Arai M, Kawashima H et al (2002) Laparoscopically assisted anorectal pull-through for rectocloacal fistula. Pediatr Endosurg Innov Tech 6:261–267

    Article  Google Scholar 

  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 17:278–281

    Article  CAS  PubMed  Google Scholar 

  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 40:1923–1926

    Article  PubMed  Google Scholar 

  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 17:1646–1649

    Article  CAS  PubMed  Google Scholar 

  6. Bischoff A, Levitt MA, Peña A (2011) Laparoscopy and its use in the repair of anorectal malformations. J Pediatr Surg 46:1609–1617

    Article  PubMed  Google Scholar 

  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 48:2383–2388

  8. Williams DI, Grant J (1969) Urological complications of imperforate anus. Br J Urol 41:660–665

    Article  CAS  PubMed  Google Scholar 

  9. Uchida H, Iwanaka T, Kitano Y et al (2009) Residual fistula after laparoscopically assisted anorectoplasty: is it a rare problem? J Pediatr Surg 44:278–281

    Article  PubMed  Google Scholar 

  10. Hong AR, Acuña MF, Peña A et al (2002) Urologic injuries associated with repair of anorectal malformations in male patients. J Pediatr Surg 37:339–344

    Article  PubMed  Google Scholar 

  11. Alam S, Lawal TA, Peña A et al (2011) Acquired posterior urethral diverticulum following surgery for anorectal malformations. J Pediatr Surg 46:1231–1235

    Article  PubMed  Google Scholar 

  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 45:397–400

    Article  PubMed  Google Scholar 

  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 157:1902–1906

    Article  CAS  PubMed  Google Scholar 

  14. Fujikawa K, Matsui Y, Fukuzawa S et al (1999) A case of female large urethral diverticulum treated by electrofulguration. Int J Urol 6:620–622

    CAS  PubMed  Google Scholar 

  15. Saito S (2000) Usefulness of diagnosis by the urethroscopy under anesthesia and effect of transurethral electrocoagulation in symptomatic female urethral diverticula. J Endourol 14:455–457

    Article  CAS  PubMed  Google Scholar 

  16. Bagrodia A, Gerecci D, Ramirez D et al (2012) Holmium laser endourethrotomy and litholapaxy of an occult prostatic utricle calculus. Can J Urol 19:6477–6479

    PubMed  Google Scholar 

  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 29:433–442

    Article  PubMed  Google Scholar 

  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 21:345–349

    PubMed  Google Scholar 

  19. Al-Busaidy SS, Prem AR, Medhat M et al (2005) Holmium laser ablation of anterior urethral valves: case report. J Endourol 19:1210–1211

    Article  CAS  PubMed  Google Scholar 

  20. Beiko D, Pierre SA, Leonard MP (2011) Urethroscopic holmium: YAG laser epilation of urethral diverticular hair follicles following hypospadias repair. J Pediatr Urol 7:231–232

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, Saitama Children’s Medical Center, 2100 Magome, Iwatsuki-ku, Saitama, Saitama, 339-8551, Japan

    Shinya Takazawa, Hiroshi Kawashima, Yujiro Tanaka, Takayuki Masuko, Kyoichi Deie & Hizuru Amano

  2. Department of Pediatric Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Shinya Takazawa & Tadashi Iwanaka

  3. Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai, Syowa-ku, Nagoya, Aichi, 466-8560, Japan

    Hiroo Uchida

  4. Department of Urology, Toshima Hospital, 33-1 Sakae, Itabashi-ku, Tokyo, 173-0015, Japan

    Kenichiro Kobayashi

  5. Department of Pediatric Urology, Saitama Children’s Medical Center, 2100 Magome, Iwatsuki-ku, Saitama, Saitama, 339-8551, Japan

    Minoru Tada

Authors
  1. Shinya Takazawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hiroo Uchida
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hiroshi Kawashima
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yujiro Tanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takayuki Masuko
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kyoichi Deie
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Hizuru Amano
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Kenichiro Kobayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Minoru Tada
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Tadashi Iwanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shinya Takazawa.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Takazawa, S., Uchida, H., Kawashima, H. et al. Urethroscopic holmium: YAG laser ablation for acquired posterior urethral diverticulum after repair of anorectal malformations. Pediatr Surg Int 30, 945–949 (2014). https://doi.org/10.1007/s00383-014-3569-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-014-3569-8

Keywords

Search

Navigation