Laparoscopically Assisted Vaginal Pull-through for High Urogenital Sinus: A New Surgical Technique - 29/04/12
Reprint requests to: Florian Obermayr, M.D., Hoppe-Seyler Str. 3, 72 076 Tuebingen, GermanyRésumé |
Objective |
To evaluate feasibility and outcome of a laparoscopically assisted vaginal pull through procedure for suprasphincteric high urogenital sinus malformation with hydrometrocolpos and normal external genitalia.
Methods |
A tension-free anastomosis of the vagina to the perineum was realized after laparoscopic mobilization of the vagina, separation from the bladder neck at the confluence and pull-through via an externally introduced expandable trocar, thereby avoiding perineal or perirectal dissection.
Results |
The approach resulted in good cosmetic and unimpaired functional outcome. Voiding cystourethrography showed normal lower urinary tract anatomy. No disturbances of bladder function could be detected 2 years after surgery.
Conclusion |
Laparoscopic assisted vaginal pull-through is a new approach for high UGS that significantly improved exposure of the uretro-vaginal junction, allowed extensive mobilization of the vagina and showed excellent cosmetic and functional result.
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| The Supplementary data was presented at the 20th annual meeting of the European Society of Pediatric Urology (ESPU) in Amsterdam (06th May 2009 - 08th May 2009). |
Vol 79 - N° 5
P. 1180-1183 - mai 2012 Retour au numéro
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