Endoscopic management of polyps in a urinary continent catheterizable channel.
We report a case of polyps in a urinary continent catheterizable channel that were endoscopically resected with the holmium laser. An 11-year-old boy underwent lower urinary tract reconstruction, along with a continent catheterizable channel. Due to persistent problems catheterizing, he underwent an endoscopy which revealed multiple broad-based polyps in his channel. These polyps were resected completely with the holmium laser without complication. The polyps were benign on final pathological examination. Follow-up endoscopy 4 weeks later revealed a healthy channel with no residual polyps. The patient has had no difficulties catheterizing in the interim. To our knowledge, this is the only report published of using the holmium laser to resect polyps in a urinary catheterizable channel.
Rosenbaum
David H
DH
Riley Hospital for Children, 702 Barnhill Drive, ROC 4230, Indianapolis, IN 46202, USA. rosenbad@iupui.edu
Meldrum
Kirstan K
KK
Rink
Richard C
RC
D001746:Bladder Exstrophy / Q000601:surgery; D002648:Child; D004724:Endoscopy; D006801:Humans; D053685:Laser Therapy; D053844:Lasers, Solid-State; D008297:Male; D011127:Polyps / Q000601:surgery*; D014428:Twins, Conjoined; D001743:Urinary Bladder / Q000601:surgery*; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000601:surgery*