ESPU Congress 2017 - Abstract book

285

19–22 APRIL, 2017, BARCELONA, SPAIN

VS-8 (VS without presentation)

SINGLE-STAGE APPROACH WITH CYSTOSCOPIC-GUIDED

BLADDER NECK PLICATION IN FEMALE EPISPADIAS

Tiago Elias ROSITO, Fernando Jahn Da Silva ABREU, Brasil Silva NETO, Patric

Machado TAVARES, Nelson Sivonei Da Silva BATEZINI, João Vitor Quadra DOS

SANTOS and Guilherme Lang MOTTA

Hospital de Clinicas de Porto Alegre - Universidade Federal do Rio Grande do Sul, Urology, Porto Alegre, BRAZIL

PURPOSE

Isolated female epispadia is a rare congenital anomaly occurring in 1 of 484.000 female live births

(1) and represents a minor form of the exstrophy-epispadias complex. Epispadias could be defini-

tively diagnosed with a precise external genitalia clinical examination. Early diagnosis and surgical

intervention are fundamental to achieving continence and preserving the urinary tract. This video

describes the surgical management of a 3-year-old female with epispadia who underwent bladder

neck plication, urethroplasty and genitoplasty via a perineal approach.

MATERIAL AND METHODS

A healthy 3-year-old girl presented with history of persistent incontinence and enuresis.Urine

analysis did not reveal urinary tract infection. Urinary ultrasound was unremarkable.The physical

findings include patulous urethra due to a dorsal urethral defect and bifid clitoris with lack of anterior

labial commissure.These findings are suggestive of female epispadia. Voiding cystourethrogram

revealed good bladder capacity with no vesico-ureteric reflux on both sides, and she was referred

to correct the defects.

RESULTS

This technique of one-stage perineal approach with bladder neck plication increases the urethral

and bladder neck resistance.

CONCLUSIONS

It offers the possibility of restoring cosmesis and providing continence in a single-stage surgery

precluding the need for abdominal surgery to plicate the bladder neck.

VS-9 (VS without presentation)

ROBOTIC ASSISTED LAPAROSCOPIC EXCISION

OF MULLERIAN REMNANT AND BILATERAL

ORCHIDOPEXIES IN PERSISTENT MULLERIAN DUCT

SYNDROME

Wing Suet Judy HUNG

, Lap Yan Kenneth CHUNG

, Sih Yin Nicholas CHAO

and Wai Yip Michael LEUNG

1) Queen Elizabeth Hospital, Paediatric Surgery, Kowloon, HONG KONG - 2) Queen Elizabeth Hospital, Paediatric

surgery, Hong Kong, HONG KONG - 3) United Christian Hospital, Paediatric Surgery, Hong Kong, HONG KONG

PURPOSE

Persistent Mullerian Duct Syndrome (PMDS) is a rare disorder of sexual differentiation affecting

46 XY male. We reported the first robotic assisted excision of Mullerian remnant with bilateral

orchidopexies in an Asian child.