209 / 238
209
11–14 APRIL, 2018, HELSINKI, FINLAND
CONCLUSIONS
A foreign body within the renal collecting system following in utero intervention is a very unusual
finding not adherent to any clinical guideline. However, endourological removal can be performed
safely in the newborn period.
VD-20 (VS without presentation)
THIERSCH DUPLAY URETHROPLASTY WITHOUT
MEATOPLASTY
Mark ZAONTZ and Christopher LONG
The Children's Hospital of Philadelphia, Urology, Philadelphia, USA
PURPOSE
When performing the standard Thiersch Duplay urethroplasty procedure, it has been the norm to
extend the parallel skin incisions to the top of the glans. This invariably led to performing a formal
sutured meatoplasty. We have modified this approach in order to avoid meatal sutures and thus
prevent the scarring that may subsequently develop. Herein we present our video.
MATERIAL AND METHODS
28 boys with a mean age of 8 months underwent the Thiersch Duplay urethroplasty without sutured
meatoplasty. The essence of the modification is in making transverse marking pen lines at the
point where we deem the natural starting point of the neomeatus. The U-shaped marking line that
follows around the hypospadias meatus only extends superiorly to the previously placed transverse
marking lines. Thus when the Thiersch tube is created, the suture line stops right at the level of
where the new meatus should naturally be situated. As a result, the meatus heals without scarring
and achieves a natural, normal slit like appearance.
RESULTS
We had consistently excellent cosmetic and functional results on all 28 boys with no complications
to date with a mean follow-up of 4 months.
CONCLUSIONS
The modified Thiersch Duplay without meatoplasty provides a cosmetically normal appearing
orthotopic slit like meatus. While folow-up is admittedly short, the improved meatal cosmetic results
should stand the test of time. We recommend that this technique be considered by those recon-
structive pediatric urologists who desire not only excellent functional results in hypospadias surgery
but excellent cosmesis as well.
VD-21 (VS without presentation)
STEP BY STEP TRANSVESICAL BILATERAL URETERIC
REIMPLANTATION IN CHILDREN: A VIDEO ATLAS
M S ANSARI
Sanjay Gandhi Postgraduate Institute of Medical Sciences, Pediatric Urology, Department of Urology and renal
transplantation, Lucknow, INDIA
PURPOSE
Contemporary literature has proven the safety and efficacy of transvesical ureteric reimplantation
in children. Most of these series have described the results of unilateral reimplantation. Here in the
author describes the technique of transvesical bilateral ureteric reimplantation in a step by step
manner in children.