203
11–14 APRIL, 2018, HELSINKI, FINLAND
RESULTS
Pre-operative dorsal/ventral shaft length asymmetry is effectively corrected by this technique.
Likewise, better phallic exposure is achieved. Patients tolerate the procedure well without
complications.
CONCLUSIONS
These additional modifications to our approach for correcting penile concealment enhance creation
of a normal penopubic junction and achieve a cicatrix-free shaft. This technique is easily performed
and should be considered when performing circumcision in the face of penile concealment.
VD-11 (VS without presentation)
MICROURETEROSCOPY FOR CORALLIFORM LITHIASIS
IN CHILDREN
Alberto PARENTE
1
, Laura BURGOS
2
, Ruben ORTIZ
2
and Jose Maria ANGULO
2
1) GREGORIO MARAÑÓN UNIVERSITY HOSPITAL, PEDIATRIC UROLOGY, Madrid, SPAIN - 2) Gregorio Marañon
University Hospital, Pediatric Urology, Madrid, SPAIN
PURPOSE
Miniaturization of the equipment for percutaneous renal surgery also allows its use for retrograde
treatment of ureteral lithiasis, reducing pain, risk of ureteral damage, and the need of catheters after
the operation. The MicroPerc 4.8F sheath has been used to diagnose and treat ureteral pathologies
in children. We present its use for the treatment of coralliform lithiasis in children.
MATERIAL AND METHODS
A 2-year-old girl was referred to our centre because of a right coralliform lithiasis. As background,
she presented repetitive UTIs. MicroPerc set 4.85F sheath was used to perform nephroureteros-
copy, thus avoiding the need to dilate the ureteral meatus. Lithotripsy was performed successfully.
RESULTS
Surgical time was 92 minutes. The patient was discharged within the next 24 hours. There were no
complications. Ultrasound performed at 8 weeks showed residual lithiasis less than 2 mm.
CONCLUSIONS
The use of microureteroscopy proved satisfactory in children. It allows diagnosis and treatment of
large kidney stones in pediatric patients.