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Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma

Bladder stones are a common complication after augmentation cystoplasty and urinary diversion. However, the treatment of recurrent cystolithiasis in neuropathic children remains a real challenge for urologists and open procedures may be associated with significant morbidity. Currently, mini-invasive...

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Autores principales: Sakly, Aymen, Zakhama, Walid, Mahjoubi, Zied, Sidhom, Wael, Lahouel, Yassir, Mnasser, Aymen, Binous, Mohamed Yassine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815490/
https://www.ncbi.nlm.nih.gov/pubmed/33505678
http://dx.doi.org/10.1016/j.amsu.2021.01.007
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author Sakly, Aymen
Zakhama, Walid
Mahjoubi, Zied
Sidhom, Wael
Lahouel, Yassir
Mnasser, Aymen
Binous, Mohamed Yassine
author_facet Sakly, Aymen
Zakhama, Walid
Mahjoubi, Zied
Sidhom, Wael
Lahouel, Yassir
Mnasser, Aymen
Binous, Mohamed Yassine
author_sort Sakly, Aymen
collection PubMed
description Bladder stones are a common complication after augmentation cystoplasty and urinary diversion. However, the treatment of recurrent cystolithiasis in neuropathic children remains a real challenge for urologists and open procedures may be associated with significant morbidity. Currently, mini-invasive management options are available in the therapeutic armamentarium. Herein, we reported a case of Mitrofanoff cystolitholapaxy using a mini PCNL-kit, in a 14-year-old patient with the history of neurogenic bladder due to myelomeningocele managed by bladder augmentation. This technique has been previously described but we have added a unique modification using Nelaton catheter for carefully dilating the Mitrofanoff stoma before inserting an Amplatz sheeth and we report tips and tricks to guarantee a stone free status with one single procedure. Using high energy Holmium laser, this approach is safe and effective even with large stone burden.
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spelling pubmed-78154902021-01-26 Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma Sakly, Aymen Zakhama, Walid Mahjoubi, Zied Sidhom, Wael Lahouel, Yassir Mnasser, Aymen Binous, Mohamed Yassine Ann Med Surg (Lond) Case Report Bladder stones are a common complication after augmentation cystoplasty and urinary diversion. However, the treatment of recurrent cystolithiasis in neuropathic children remains a real challenge for urologists and open procedures may be associated with significant morbidity. Currently, mini-invasive management options are available in the therapeutic armamentarium. Herein, we reported a case of Mitrofanoff cystolitholapaxy using a mini PCNL-kit, in a 14-year-old patient with the history of neurogenic bladder due to myelomeningocele managed by bladder augmentation. This technique has been previously described but we have added a unique modification using Nelaton catheter for carefully dilating the Mitrofanoff stoma before inserting an Amplatz sheeth and we report tips and tricks to guarantee a stone free status with one single procedure. Using high energy Holmium laser, this approach is safe and effective even with large stone burden. Elsevier 2021-01-15 /pmc/articles/PMC7815490/ /pubmed/33505678 http://dx.doi.org/10.1016/j.amsu.2021.01.007 Text en © 2021 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sakly, Aymen
Zakhama, Walid
Mahjoubi, Zied
Sidhom, Wael
Lahouel, Yassir
Mnasser, Aymen
Binous, Mohamed Yassine
Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma
title Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma
title_full Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma
title_fullStr Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma
title_full_unstemmed Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma
title_short Paediatric cystolitholapaxy using mini PCNL-kit through the Mitrofanoff stoma
title_sort paediatric cystolitholapaxy using mini pcnl-kit through the mitrofanoff stoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815490/
https://www.ncbi.nlm.nih.gov/pubmed/33505678
http://dx.doi.org/10.1016/j.amsu.2021.01.007
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