V03-10 robotic Partial Nephrectomy in the Pediatric Population: Tips and Tricks

Abstract

METHODS: A preschool male child presented to us with urinary incontinence and penopubic epispadias. He had no other congenital anomaly and no prior surgery. Stretched penile length was 44 mm and there was no chordee. Anatomical repair was performed using corporal disassembly technique. The external sphincter complex was identified and wrapped around posterior urethra after completion of the urethroplasty.RESULTS: Operative time was 130 minutes. Blood loss was minimal. Post-operative course was uneventful. Urethral splint was removed on post-operative day 12. Satisfactory cosmetic appearance and complete urinary continence was achieved with no residual chordee. The urethra was easily catheterizable. Uroflowmetry at six weeks after surgery was normal with normal urine stream and the child could hold urine for 3 to 4 hours.CONCLUSIONS: Anatomical repair of epispadias using corporal disassembly technique along with restoration of external sphincter complex gives good cosmetic and functional outcomes.