Operative cystoscopy in the neonatal period

  • Salvatore Arena | salarena@unime.it Unit of Paediatric Surgery, Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. http://orcid.org/0000-0003-0276-9211
  • Tiziana Russo Unit of Paediatric Surgery, Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy.
  • Patrizia Perrone Unit of Paediatric Surgery, Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy.
  • Carmelo Romeo Unit of Paediatric Surgery, Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy.

Abstract

Aim of the study is to report the experience in the last three years about endourological treatment of newborns affected by genito- and urinary malformation, implying critical urinary tract dilatation and bladder mass requiring a neonatal operative management. Seven – four males and three female – patients were treated cystoscopically during the neonatal period. Three newborns with a posterior urethral valves (PUV), underwent a successful ablation of PUV. In a male with infected persistent large mullerian duct and subsequent acute urinary retention, a cystoscopically-assisted catheterization was performed. Two females, one with cloaca and the other with high persistent urogenital sinus and massive associated hydrometrocolpos underwent a cystoscopical drainage of the vagina and a positioning of a balloon catheter into the bladder. Another female with a bladder mass had a endoscopical biopsy. Thanks to modern neonatal operative urethrocystoscope, today is possible to treat early many pathological genito-urinary conditions in newborns.

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Published
2016-12-20
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Section
Case Reports
Keywords:
Operative cystoscopy, Posterior urethral valve, Persistent urogenital sinus, Bladder mass, Cloaca
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How to Cite
Arena, S., Russo, T., Perrone, P., & Romeo, C. (2016). Operative cystoscopy in the neonatal period. La Pediatria Medica E Chirurgica, 38(3). https://doi.org/10.4081/pmc.2016.136