V7-09 MINIMALLY INVASIVE APPROACH TO Y-TYPE URETHRAL DUPLICATION.

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You have accessJournal of UrologyPediatrics1 Apr 2016V7-09 MINIMALLY INVASIVE APPROACH TO Y-TYPE URETHRAL DUPLICATION. Matthew Schaff, Charles Concodora, Michael Packer, Daniel Eun, and Gregory Dean Matthew SchaffMatthew Schaff More articles by this author , Charles ConcodoraCharles Concodora More articles by this author , Michael PackerMichael Packer More articles by this author , Daniel EunDaniel Eun More articles by this author , and Gregory DeanGregory Dean More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.566AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urethral duplication is a rare congenital anomaly and typically occurs in the sagittal plane. Management of these patients remains difficult as no consensus has been established. We present a case of a paramedian Y-type urethral duplication and our minimally invasive approach to management including a novel robotic assisted laparoscopic approach in its repair. METHODS A 14-year-old male presenting with peri-anal drainage during voiding and intermittent episodes of irritative voiding symptoms was found to have a fistulous connection from the prostatic urethra to the right perianal region consistent with a Y-type urethral duplication. Endoscopic evaluation revealed the origin of the duplication to be the right of midline in the proximal prostatic urethra. An initial attempt at endoscopic management was made with injection of bulking agent at the proximal orifice followed by fulguration after inadequate coaptation was observed. These approaches failed with leakage one week following the procedure. The patient subsequently underwent robotic excision of the proximal ostium. RESULTS Total console time for the robotic portion of the procedure was 50 minutes with minimal blood loss. The foley catheter was removed on postoperative day one, and the patient was discharged home. At extended follow up, the patient was voiding normally and completely asymptomatic. CONCLUSIONS Management of Y-type urethral duplication in certain cases can safely be repaired via a transperitoneal robotic approach. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e725 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Matthew Schaff More articles by this author Charles Concodora More articles by this author Michael Packer More articles by this author Daniel Eun More articles by this author Gregory Dean More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

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