Summary
Objective
To describe our experience with pneumovesicoscopic bladder tumor resection in a young
boy whose urethra was too small to use a resectoscope.
Methods
An 11-year-old boy presented with gross hematuria. The patient was found to have a
2 cm-sized bladder tumor on ultrasound. The patient's urethra was too small to use
a pediatric resectoscope, making it impossible to perform a transurethral resection
of the bladder tumor. Therefore, pneumovesicoscopic bladder tumor resection was performed.
En-bloc resection was performed successfully using 3 mm laparoscopic instruments,
and the tumor was safely retrieved within an endo-bag made with a surgical glove.
Results
On postoperative day 1, the Foley catheter was removed and the patient was discharged.
The pathology report described bladder papillary urothelial carcinoma, grade II/III
without lamina propria invasion. The patient underwent follow-up with ultrasonography
and urine cytology every three to six months. There was no recurrence for 21 months
after surgery.
Conclusion
This video demonstrates a pneumovesicoscopic approach for the treatment of bladder
tumor in a young patient whose urethra was too small to use a resectoscope. Pneumovesicoscopic
bladder tumor resection is technically feasible and safe.
Keywords
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References
- Clinicopathological characteristics of urinary bladder tumors in Korean patients 20 Years or younger.J Kor Med Sci. 2018; 33: e242
- Transvesicoscopic Cohen ureteric reimplantation for vesicoureteral reflux in children: a single-centre 5-year experience.J Pediatr Urol. 2009; 5: 466-471
- A one-port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma.BJU Int. 2011; 108: 1497-1500
- Pneumovesicum approach to en-bloc laparoscopic nephroureterectomy with bladder cuff excision for upper tract urothelial cancer: midterm oncological results.J Endourol. 2011; 25: 611-614
- Bladder urothelial neoplasms in pediatric age: experience at three tertiary centers.J Pediatr Urol. 2015; 11 (e1-5): 26
Article info
Publication history
Published online: September 05, 2020
Accepted:
August 28,
2020
Received in revised form:
August 14,
2020
Received:
June 28,
2020
Identification
Copyright
© 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
