Combined use of percutaneous and transurethral instruments in the preadolescent children with intravesical...

Area of Science:

• Pediatric Urology
• Minimally Invasive Surgery
• Laparoscopy

Background:

• Intravesical lesions and stones in preadolescent boys present treatment challenges.
• Current endoscopic instruments are often insufficient for posterior bladder wall pathologies in the 10-12 year age group.
• This age range represents a 'grey zone' for standard transurethral interventions.

Purpose of the Study:

• To introduce and evaluate a new technique using laparoscopic instruments for percutaneous treatment of bladder stones and tumoral lesions in children.
• To determine the efficacy and safety of this novel laparoscopic approach.

Main Methods:

• A new technique utilizing laparoscopic instruments for percutaneous access to the bladder was developed.
• The procedure was applied to treat bladder stones and suspicious tumoral lesions in a selected pediatric population.
• Outcomes including efficacy, operation time, and complications were assessed.

Main Results:

• Satisfactory results were achieved in patients treated with the new laparoscopic technique.
• The procedure demonstrated effectiveness in managing intravesical pathologies in the target age group.
• Potential benefits include reduced operation time, minimal urethral and mucosal damage, shorter hospital stays, and decreased costs.

Conclusions:

• Laparoscopic instruments provide an effective solution for percutaneous treatment of bladder stones and lesions in preadolescent children, particularly in the challenging 10-12 year age group.
• This technique offers a minimally invasive alternative with potential advantages over traditional methods.
• Further studies may confirm the long-term benefits and broader applicability of this approach.