Operative cystoscopy in the neonatal period

• Main Authors: Salvatore Arena, Tiziana Russo, Patrizia Perrone, Carmelo Romeo
• Format: Article
• Language: English
• Published: PAGEPress Publications 2016-12-01
• Series: La Pediatria Medica e Chirurgica
• Subjects: Operative cystoscopy; Posterior urethral valve; Persistent urogenital sinus; Bladder mass; Cloaca
• Online Access: http://www.pediatrmedchir.org/index.php/pmc/article/view/136

Aim of the study is to report the experience in the last three years about endourological treatment of newborns affected by genito- and urinary malformation, implying critical urinary tract dilatation and bladder mass requiring a neonatal operative management. Seven – four males and three female – patients were treated cystoscopically during the neonatal period. Three newborns with a posterior urethral valves (PUV), underwent a successful ablation of PUV. In a male with infected persistent large mullerian duct and subsequent acute urinary retention, a cystoscopically-assisted catheterization was performed. Two females, one with cloaca and the other with high persistent urogenital sinus and massive associated hydrometrocolpos underwent a cystoscopical drainage of the vagina and a positioning of a balloon catheter into the bladder. Another female with a bladder mass had a endoscopical biopsy. Thanks to modern neonatal operative urethrocystoscope, today is possible to treat early many pathological genito-urinary conditions in newborns.