Postoperative cystolithiasis in a case of cloacal malformation treated using an endoscopic pneumatic lithotripter through a combination of percutaneous and transurethral approaches.
Long-term management of patients with cloacal malformation is still challenging to pediatric surgeons and urologists. Recently, we experienced postoperative cystolithiasis in a case of cloacal malformation. All stones were removed successfully by using an endoscopic pneumatic lithotripter through a combined approach from the cystostomy and the narrow reconstructed urethra. To the best of our knowledge, this was the first time for this combined approach to be applied in a patient with cloacal malformation. It has a particular appeal because it is simple, safe, and minimally invasive.
Shimotakahara
Akihiro
A
Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan. shimo@med.juntendo.ac.jp
Kato
Yoshifumi
Y
Lane
Geoffrey J
GJ
Yamataka
Atsuyuki
A
D002648:Child; D002988:Cloaca / Q000002:abnormalities* / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D011183:Postoperative Complications; D001744:Urinary Bladder Calculi / Q000209:etiology* / Q000628:therapy*