Operative cystoscopy in the neonatal period

Area of Science:

• Pediatric Urology
• Neonatal Surgery
• Endourology

Background:

• Genitourinary malformations in newborns often require prompt intervention.
• Critical urinary tract dilatation and bladder masses necessitate neonatal operative management.

Observation:

• Seven neonates (4 male, 3 female) underwent cystoscopic procedures over three years.
• Conditions treated included posterior urethral valves (PUV), persistent large mullerian duct, cloaca, urogenital sinus anomalies, and bladder masses.

Findings:

• Successful ablation of posterior urethral valves (PUV) in three male newborns.
• Cystoscopically-assisted catheterization for acute urinary retention due to infected persistent large mullerian duct.
• Vaginal drainage and bladder catheterization for cloaca and urogenital sinus anomalies with hydrometrocolpos.
• Endoscopic biopsy of a bladder mass in a female neonate.

Implications:

• Modern neonatal operative urethrocystoscopy facilitates early diagnosis and treatment.
• Minimally invasive endourological approaches are effective for complex neonatal genitourinary conditions.
• Improved outcomes for newborns with congenital urogenital tract abnormalities through timely endoscopic interventions.