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CONGRESS OF THE ESPU
VD-12 (VS without presentation)
ENDOSCOPIC TREATMENT OF PEDIATRIC SINGLE
SYSTEM BILATERAL URETEROCELE: CLINICAL SERIE
OF AN UNUSUAL CONDITION
Pedro Jose LOPEZ
1
, Ximena RECABAL
1
, Francisco REED
1
, Jose Antonio
SEPULVEDA
2
, Nelly LETELIER
1
, Ricardo ZUBIETA
1
and Francisca YANKOVIC
3
1) Hospital exequiel Gonzalez Cortes & Universidad de Chile, Paediatric Urology, Santiago De Chile, CHILE -
2) Hospital Regional de Magallanes, Pediatric Surgery, Punta Arenas, CHILE - 3) Hospital exequiel Gonzalez Cortes &
Clinica Santa Maria, Paediatric Urology, Santiago De Chile, CHILE
PURPOSE
The ureterocele is a congenital anomaly of the distal lower ureter. Frequently associated with duplex
kidney, pediatric bilateral orthotopic single system ureteroceles are a very uncommon condition.
The aim of this video is to show a clinical series of pediatric patients with bilateral ureteroceles,
successfully treated by an endoscopic route.
MATERIAL AND METHODS
Retrospective reviews of patients treated between 2011 and 2016. A total of 7 male patients were
identified. 5 patients had antenatal hydronephrosis and postnatal studies had confirmed bilateral
single system ureteroceles. Cases six and seven presented with acute pyelonephritis at age of
1 month and 2 years respectively. All patients were studied with ultrasonography and renal scintig-
raphy. Four had pre operative micturating cystourethrogram.
RESULTS
An endoscopic treatment was offered due to infection, progressive hydronephrosis and/or obstruc-
tive pattern at the renal scintigraphy. Eleven consecutive endoscopic punctures were performed at
a median age of 9 months (range 2–27). In five patients bugbee diathermy was used. As shown
in this video we have recently incorporated the Holmium Laser technology for the puncture. This
technique is easy to reproduce and offers a more controlled ureterocele incision. After a mean
22 months (6–44) follow up, no complications were observed and all patients remain asymptomatic
without use of antibiotics and with resolution of the hydronephrosis.
CONCLUSIONS
Bilateral pediatric single system ureterocele is a very rare condition. This video demonstrated suc-
cessful endoscopic minimal invasive treatment in a consecutive series of seven patients. Holmiun
Laser ureterocele cut offers an easy to perform technique with good outcomes.
VD-13 (VS without presentation)
LAPAROSCOPIC MANAGEMENT OF RENAL CYST USING
SAND BALLOON CATHETER
Akiko SAKODA
1
, Chizuka SEKI
2
, Hiroko WATAYO
2
, Ryusuke YAMAGUCHI
2
, Yukari
MAKI
2
and Osamu SEGAWA
2
1) Tokyo Women's Medical University, Urology and Pediatric Surgery, Tokyo, JAPAN - 2) Tokyo Women's Medical
University, Pediatric Surgery, Tokyo, JAPAN
PURPOSE
To demonstrate efficient and successful use of SAND balloon catheter for laparoscopic manage-
ment of renal cyst.