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Published on: March 6, 2018
Holmium laser ablation of anterior urethral valves: case report
S S Al-Busaidy1, A R Prem, M Medhat
1Department of Urology, Armed Forces Hospital, Muscat, Sultanate of Oman. salimalbusaidy@hotmail.com
Purpose:
To report a novel method for treating anterior urethral valves in children using the holmium:YAG laser.
Case Report:
A 2-year-old boy presented with symptoms of urinary-outflow obstruction. A micturating cystourethrogram (MCUG) revealed an abrupt narrowing of the penile urethra. At cystourethroscopy, an anterior urethral valve without a diverticulum was visible. This was ablated endoscopically using the Ho:YAG laser. The child voided successfully and was discharged the next day. Repeat MCUG 6 months later revealed a normal-caliber urethra.
Conclusion:
Holmium:YAG laser ablation of anterior valves is a minimally invasive treatment modality that provided a satisfactory result and appears to be very promising.

