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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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. |
format | Online Article Text |
id | pubmed-7815490 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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