Laser Ablation in the Management of Obstructive Uropathy in Neonates

Pagano, Matthew J.; Batavia, Jason P. Van; Casale, Pasquale

doi:10.1089/end.2014.0260

Cited by 18 publications

(10 citation statements)

References 19 publications

(8 reference statements)

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“…Up to date the largest series of laser treatment of ureterocele using holmium: YAG laser in neonates, including 8 cases, was published in 2015. No intraoperative complications were observed [11].…”

Section: Introductionmentioning

confidence: 83%

“…The timing of endoscopic intervention toward earlier periods has been noted [1][2][3][4][5][6][7][8]. Recently transurethral laser incision of ureterocele has been proposed as a safe and efficacious option [9][10][11]. The aim of this report is to present a unique but very serious complication after ureterocele puncture using a holmium laser in an infant.…”

Section: Introductionmentioning

confidence: 93%

“…Also, anterior wall of the rectum was involved, but without perforation (Figure 4a, Figure 4b and Figure 4c). After removal of damaged tissues the a b has been proposed in older children and also in neonates [9,11]. Also, fetoscopic laser surgery to decompress ureterocele prenatally is reported [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Serious Complication after Laser Treatment of Ureterocele in an Infant

Warchoł¹

2017

Int Arch Urol Complic

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Endoscopic decompression has been recently suggested as the first line treatment of ureterocele in children, including laser transurethral incision. We report a case of a unique but very serious complication after simple ureterocele puncture using a holmium laser in an infant. A 6-week-old male with a history of laser treatment of right simple ureterocele (procedure performed at the other institution 2 days earlier) was admitted because of sepsis. Imaging studies revealed urine leak around the bladder. Destroyed right bladder wall with perforation (locally coagulated and buried tissue) and damaged distal part of the right ureter along the distance of 3-4 cm were found during cystoscopy and laparotomy. Bladder was closed wall after removal of damaged tissues and then end right ureterocutaneostomy was done. The presented case shows that one has to be very careful using new techniques for endoscopic treatment, especially in very young patients and complications may overweight the advantages. KeywordsUreterocele, Laser therapy, Endoscopic incision, Children Case ReportA 6-week-old male after laser incision of a simple right ureterocele performed at the other hospital two days before admission to our institution, was admitted because of general bad condition and signs and symptoms of sepsis. Endoscopic incision was done as an outpatient procedure and a boy was discharged home immediately after cystoscopy.Ultrasound (US) showed mild distention of the right collecting system and upper part of the right ureter CASE REPORT

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Section: Introductionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 93%

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Serious Complication after Laser Treatment of Ureterocele in an Infant

Warchoł¹

2017

Int Arch Urol Complic

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“…The incision was performed with 10 W holmium laser. Owing to shallow penetration of energy delivered by a narrow end of the fiber, holmium laser helps obtain a perfect incision line with no tendency to deep coagulation and with no risk of extensive thermal damage and shrinkage of the neighboring structures (12,13) .…”

Section: Discussionmentioning

confidence: 99%

TRUS-guided drainage of the ectopic ureter entering the prostatic urethra and TRUS-guided transurethral neo-orifice formation using holmium laser

et al. 2018

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A fifty-nine year-old male was hospitalized for exacerbation of chronic pancreatitis. As a gigantic cyst of the pancreatic tail was identified, it was fused with the jejunal loop. Due to persistent fever and severe symptoms in the storage and voiding phases, the patient was referred to a urologist. Because transrectal ultrasound examination revealed a fluid collection resembling the left seminal vesicle filled with purulent material, a transrectal puncture procedure was performed. The analysis of computed tomography scans led to the diagnosis of duplicated collecting system of the left kidney with the enormous ureter of the upper moiety that entered the prostate gland. In order to permanently decompress the hydronephrosed upper moiety of the left kidney, the patient was deemed eligible for endoscopic treatment. A transurethral incision through the bladder wall and the adjacent segment of the ectopic ureter was made with holmium laser under transrectal ultrasonography guidance, thus creating a neo-orifice of this ureter.

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“…Immediate renal drainage of the blocked kidney should be used to treatment of this condition. This not only helps reduce pain but also prevents renal function in the future (3,4). Minimally invasive interventions and radiologic techniques lead to immediate kidney drainage until the final procedure is completed and in some cases treatment may be definitive.…”

Section: Introductionmentioning

confidence: 99%

Comparing the Percutaneous Nephrostomy and Hemodialysis in Patients with Obstructive Uropathy: A Clinical Trial Study

Khazaeli

Mombeini

Kord

et al. 2019

Jentashapir J Health Res

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Background: Obstructive uropathy disease is a potentially lethal disease caused by the urination disorder, which is of great importance to proper treatment. Objectives: Based on the mentioned section, the aim was to compare the results and complications of percutaneous nephrostomy with hemodialysis in correcting water and electrolyte disorders in patients with obstructive uropathy. Methods: In this as a clinical trial study, thirty patients with obstructive uropathy were considered as the study group. Patients were randomly divided into hemodialysis and PCN (percutaneous nephrostomy) groups. In both groups, BUN/Cr, Na, and K were measured every six hours. The variables T1 (time to preparation for action), T2 (time to clearance), T3 (total hospitalization time), pain score, satisfaction rate, and complications in both groups were compared. Finally, the data were analyzed using the SPSS software. Results: Results show that T1 in both PCN and hemodialysis groups was not significantly different. However, T2 and T3 in the PCN group had a significant decrease compared to the hemodialysis group, also the satisfaction rate in patients with PCN was better than hemodialysis. Concentration of potassium and creatinine in the PCN method decreased more than hemodialysis. However, there was no significant difference in the trend of reduction of other indicators such as sodium concentration, systolic, and diastolic blood pressure in both methods. Conclusions: PCN can be an alternative, appropriate, cheap, and less complicated method for patients with obstructive uropathy.

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Laser Ablation in the Management of Obstructive Uropathy in Neonates

Cited by 18 publications

References 19 publications

Serious Complication after Laser Treatment of Ureterocele in an Infant

Serious Complication after Laser Treatment of Ureterocele in an Infant

TRUS-guided drainage of the ectopic ureter entering the prostatic urethra and TRUS-guided transurethral neo-orifice formation using holmium laser

Comparing the Percutaneous Nephrostomy and Hemodialysis in Patients with Obstructive Uropathy: A Clinical Trial Study

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