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Operative cystoscopy in the neonatal period

Salvatore Arena, Tiziana Russo, Patrizia Perrone, Carmelo Romeo
  • 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.

Keywords

Operative cystoscopy; Posterior urethral valve; Persistent urogenital sinus; Bladder mass; Cloaca

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Submitted: 2016-07-07 17:22:06
Published: 2016-12-20 11:31:54
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Copyright (c) 2016 Salvatore Arena

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