¿Divertículo uretral tras descenso anorectal asistido por laparoscopia (DARAL) en malformacion anorectal: es siempre necesario resecar el diverticulo?

López, Pedro-José; Guelfand, Miguel; Angel, Lorena; Paulos, Angélica; Cadena, Yair; Escala, Jose Manuel; Letelier, Nelly; Zubieta, Ricardo

doi:10.4321/s0004-06142010000400010

Cited by 6 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There have been no complications from not closing the defect in any of our patients. There have been reports [5, 8, 10–12] describing the development of posterior urethral diverticula leading to compression and obstruction of the urethra as they increase in size. It was suggested that this complication occurred more often in laparoscopic procedures than in open PSARP.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy‐assisted Anorectal Pull‐through in Anorectal Malformations: A Reappraisal

2013

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopy‐assisted Anorectal Pull‐through in Anorectal Malformations: A Reappraisal

2013

View full text Add to dashboard Cite

show abstract

Laparoscopic approach in the management of anorectal malformations

2015

View full text Add to dashboard Cite

Seventeen years have passed since the first description of the laparoscopic approach for anorectal malformation and approximately 68 articles have been published on the subject. In this review article, we aim to describe the advantages as well as the indications and contraindications of this approach when dealing with each specific type of anorectal malformation, according to what has been described in the literature and to our own experience. The ideal and undisputable indication for laparoscopy remains for cases in which the abdomen needs to be entered to repair the malformation. Only 10% of male patients with anorectal malformation are born with a recto-bladder neck fistula that requires an abdominal approach, this represents an ideal indication for laparoscopy. In females, only the complex cloacae with a common channel length greater than 3 cm are the ones that require a laparotomy; they represent about 30% of the cloacae. However, the repair of this type of cloacae also requires sophisticated and technically demanding maneuvers that have never been done laparoscopically. In cases of recto-urethral prostatic fistulas the malformation can be repaired either way: laparoscopically or posterior sagitally. In all other malformations: recto-perineal fistula, recto-urethral bulbar fistula, anorectal malformation without fistula, rectal atresia, recto-vestibular fistula; no justification for laparoscopy could be found; and in some cases, laparoscopy is contraindicated. In the published reports, there is no evidence supporting the idea that laparoscopic repair results in better functional results when compared with non-laparoscopic operation; there is a tendency to omit information relevant to bowel control such as the characteristics of the sacrum and the presence or absence of tethered cord; and most authors do not compare results between comparable malformations.

show abstract

Litiasis en divertículo de uretra de localización intraescrotal

Bandpey¹,

Escusa²,

Fandos³

et al. 2014

Revista Argentina de Radiología

View full text Add to dashboard Cite

Recibido el 15 de abril de 2013; aceptado el 11 de agosto de 2013 Disponible en Internet el 23 de septiembre de 2014 PALABRAS CLAVE Divertículo uretral; Litiasis uretral; Masa escrotalResumen Los divertículos uretrales en el varón son una patología rara que aparece, en su mayoría, después de realizar manipulaciones uretrales. Desde el punto de vista clínico, pueden ser sintomáticos o no sintomáticos. Las complicaciones ocurren en un 10% de los casos, siendo la más frecuente la litiasis. Cuando el divertículo está ocupado por cálculos, suele presentar una sintomatología mucho más evidente.La cistouretrografía es la técnica de elección en estos casos, ya que permite diferenciar los divertículos uretrales del resto de las lesiones quísticas parauretrales. El tratamiento de elección es la exéresis del divertículo y la uretroplastia. La abstención quirúrgica puede estar indicada solo en los divertículos asintomáticos de muy pequeño volumen.Presentamos un paciente de 44 años de edad que acudió al servicio de Urgencias por el desarrollo de una masa escrotal de gran tamaño con signos inflamatorios locales. Se confirmó quirúrgicamente el diagnóstico presuntivo de divertículo uretral gigante con litiasis en su interior, efectuado tras la evaluación imagenológica con radiografía simple, ecografía, tomografía computada y uretrografía retrógrada. Lithiasis in urethral diverticulum of intraescrotal localizationAbstract The male urethral diverticula are a rare condition, most of them being acquired after urethral manipulations. From the clinical point of view they may be symptomatic and asymptomatic; complications may occur in 10% of cases, being the lithiasis the most common. When the diverticulum is occupied by stones, it usually has a much more apparent symptomatology.Cystourethrography is the imaging technique of choice in these cases, allowing us to differentiate urethral diverticula from other paraurethral cystic lesions. The elective treatment is * Autor para correspondencia. Correo electrónico: mlfatahi@yahoo.es (M.L. Fatahi Bandpey).

show abstract

¿Divertículo uretral tras descenso anorectal asistido por laparoscopia (DARAL) en malformacion anorectal: es siempre necesario resecar el diverticulo?

Cited by 6 publications

References 14 publications

Laparoscopy‐assisted Anorectal Pull‐through in Anorectal Malformations: A Reappraisal

Laparoscopy‐assisted Anorectal Pull‐through in Anorectal Malformations: A Reappraisal

Laparoscopic approach in the management of anorectal malformations

Litiasis en divertículo de uretra de localización intraescrotal

Contact Info

Product

Resources

About