Laser endoscopic incision: a viable alternative to treat adult ureterocele.
OBJECTIVE
To prospectively evaluate the safety. efficacy, feasibility and outcome of Nd-Yag laser endoscopic incision in adult symptomatic patients with intravesical uretroceles.


METHODS
We present our experience with the use of Nd-Yag laser for endoscopic incision of the adult ureterocele in a group of five symptomatic adult patients.


RESULTS
All the five patients showed excellent decompression with relief from flank pain and hydronephrosis and none demonstrated a post-op vesicoureteric reflux (VUR).


CONCLUSIONS
Laser endoscopic management of intravesical ureteroceles is new emerging modality, which is being increasingly employed to decompress ureteroceles. Laser endoscopic incision is a precise and bloodless procedure enabling a clean accurate controlled cut through the endoscope as opposed to the traditional bugbee electrode.
Gupta
N P
NP
Department of Urology, All India Institute of Medical Sciences, New Delhi. narmadagupta@hotmail.com
Ansari
M S
MS
Singh
I
I
D000328:Adult; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008297:Male; D014518:Ureterocele / Q000601:surgery*; D018666:Ureteroscopy