Pneumovesicoscopic management of bladder neoplasms in children: three case reports
Accepted: 19 June 2023
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Urothelial bladder neoplasms (UBN) are uncommon in children and are poorly understood. Their management is contentious, and there are currently no pediatric guidelines available, making it difficult to envision a surgical approach that can be defined as the gold standard for the treatment of these diseases. Pneumovesicoscopy, which has already been used to treat other urological diseases, could be a promising treatment option for selected cases of this group of pathologies. We present our experience with three pediatric UBN cases in which pneumovesicoscopy was used for complete excision of a perimeatal papilloma in two cases and biopsy of a botryoid rhabdomyosarcoma in one. The pneumovesicoscopic approach, in our experience, provided a viable alternative technique for the management of selected cases of UBN.
Alanee S, Shukla AR. Bladder malignancies in children aged <18 years: results from the surveillance, epidemiology, and results database. BJU Int 2009;106:557e60. DOI: https://doi.org/10.1111/j.1464-410X.2009.09093.x
Berrettini A, Castagnetti M, Salerno A, et al. Bladder urothelial neoplasms in pediatric age: experience at three tertiary centers. J Pediatr Urol 2015;11:26.e1-5. DOI: https://doi.org/10.1016/j.jpurol.2014.08.008
Molinaro F, Krasniqi P, Scolletta S, et al. Considerations regarding pain management and anesthesiological aspects in pediatric patients undergoing minimally invasive surgery: robotic vs laparoscopic-thoracoscopic approach. J Robot Surg 2020;14:423-430. DOI: https://doi.org/10.1007/s11701-019-01005-1
Yeung CK, Sihoe JD, Borzi PA. Endoscopic cross-trigonal ureteral reimplantation under carbon dioxide bladder insufflation: A novel technique. J Endourol 2005;19:295–9. DOI: https://doi.org/10.1089/end.2005.19.295
Chung PH, Tang DY, Wong KK, et al. Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients--a preliminary review. J Pediatr Surg 2008;43:2246-9. DOI: https://doi.org/10.1016/j.jpedsurg.2008.08.057
Symons S, Kurien A, Desai M. Laparoscopic ureteral reimplantation: A single center experience and literature review. J Endourol 2009;23:274. DOI: https://doi.org/10.1089/end.2008.0266
Nino F, Ilari M, Noviello C, et al. Genetics of vesicoureteral reflux. Curr Genomics 2016;17:70-9. DOI: https://doi.org/10.2174/1389202916666151014223507
Molinaro F, Angotti R, Bindi E, et al. Low weight child: can it be considered a limit of robotic surgery? Experience of two centers. J Laparoendosc Adv Surg Tech A 2019;29:698-702. DOI: https://doi.org/10.1089/lap.2017.0681
Soh S, Kobori Y, Shin T, et al. Transvesicoscopic ureteral reimplantation: Politano-Leadbetter versus Cohen technique. Int J Urol 2015;22:394-9. DOI: https://doi.org/10.1111/iju.12702
Hong CH, Kim JH, Jung HJ, et al. Single-surgeon experience with transvesicoscopic ureteral reimplantation in children with vesicoureteral reflux. Urology 2011;77:1465-9. DOI: https://doi.org/10.1016/j.urology.2010.11.023
Xiang B, Liu JX, Sung HB, et al. The effect of CO2 pneumovesicum on the upper urinary tract. J Pediatr Surg 2010;45:1863-7. DOI: https://doi.org/10.1016/j.jpedsurg.2010.04.008
Przudzik M, Borowik M, Łesiów R, et al. Transvesicallaparoendoscopic single-site surgery (T-LESS) to remove an unusual foreign body from the bladder. Cent European J Urol 2016;69:312.
Xylinas E, Rink M, Cha EK, et al. Impact of distal ureter management on oncologic outcomes following radical nephroureterectomy for upper tract urothelial carcinoma. Eur Urol 2014;65:210-7. DOI: https://doi.org/10.1016/j.eururo.2012.04.052
Phé V, Cussenot O, Bitker MO, Rouprêt M. Does the surgical techniquefor management of the distal ureter influence the outcome after nephroureterectomy? BJU Int 2011;108:130-8. DOI: https://doi.org/10.1111/j.1464-410X.2010.09835.x
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.