ESPU Congress 2017 - Abstract book

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19–22 APRIL, 2017, BARCELONA, SPAIN
VS-22 (VS without presentation)
ONE STAGE UETHROPLASTY BY ASOPA VENTRAL
SAGITTAL UETHROTOMY USING ORAL MUCOSA
GRAFTAND GLUE IN A PATIENT WITH TWO PREVIOUS
HYPOSPADIA SURGERIES
Tiago ROSITO1, Eduardo CACHOEIRA1, Guilherme MOTTA1, Fernando ABREU1,
Patric TAVARES1, Nicolino ROSITO2 and Brasil SILVA NETO1
1) Federal University of Rio Grande do Sul, Pediatric and Reconstructive Urology, Porto Alegre, BRAZIL - 2) FFFCMPA,
Pediatric and Reconstructive Urology, Porto Alegre, BRAZIL
PURPOSE
Hypospadias is a congenital abnormality occurring in 1/300 live births, and is the most common
congenital penile anomaly. Urethral stricture are among the most common complication after
hypospadias repair. The aim of this video is demonstrate step-by-step of one-stage urethroplasty
using oral graft and glue by ventral sagittal urethrotomy for penobulbar stricture a patient with two
previous hypospadias surgeries.
MATERIAL AND METHODS
The patient is a 16-year old male with two previous surgeries to repair hypospadia at age 3 and
12 with lower urinary symptoms. We performed a penile ultrasound because patient not tolerated
urethrocystography due to psychiatric problems and it demonstrated a 1,5 cm stricture at penobul-
bar urethra.
RESULTS
The operative time was 90 minutes and patient was discharged home on post-operative day 1, with
removal of the Foley catheter after 3 weeks. There was no surgical complications and patient is
satisfied with his urinary pattern 2 months after surgery.
CONCLUSIONS
The use of oral mucosa and glue with ventral sagittal incision for one-stage penile urethroplasty is
feasible and efficient for the management of penobulbar urethral strictures, which may be further
studied in a larger number of patients.
VS-23 (VS without presentation)
RIGHT TRANSPERITONEAL LAPAROSCOPIC
URETEROCALICOSTOMY AFTER FAILED OPEN
PYELOPLASTY IN A 5-YEAR-OLD CHILD
Thomas BLANC, Sylvie BEAUDOIN and Yves AIGRAIN
Necker Enfants Malades University Children Hospital, Department of pediatric surgery and pediatric urology, Paris,
FRANCE
PURPOSE
Ureterocalicostomy is indicated for reconstruction of recurrent, recalcitrant UPJO associated with
postoperative fibrosis and a relatively inaccessible renal pelvis.
MATERIAL AND METHODS
We performed a laparoscopic ureterocalicostomy in a 5-year-old boy (18 kg). He was operated at
18-month-old for prenatal diagnosis of UPJO (36 mm pyelocaliceal dilatation) via an anterior extra
peritoneal approach. Postoperative follow-up showed a persistent dilatation without impairment of
renal function. He turned to be symptomatic at 5-year-old (flank pain).