title: [Laparoscopic resection of the prostatic utricle in children].
abstract: BACKGROUND
  The prostatic utricle is an embryological remnant from Müllerian duct tissue. Most prostatic utricles are asympomatic, but they may manifest as a urinary tract infection or an incontinence.
  
  
  METHODS
  Surgery consists in a cysto-urethroscopy and cannulation of the prostatic utricle with a ureteral catheter (Fogarty ner 4) and the cystoscopy left in situ to facilitate identification and mobilization. A 10 mm port through a umbilical incision and two more 5 mm working ports were inserted. After mobilization, the ureteral defect was closed by an absorbable suture and ultrasonic coagulation.
  
  
  RESULTS
  Five boys with symptomatic prostatic utricles underwent surgery at a mean (range) age of 7 (2-11) years. The laparoscopic excision was successful in all but one due to a bleeding. The mean (range) operative duration was 165 (120-240) min.
  
  
  CONCLUSIONS
  Laparoscopic excision under cystoscopic guidance offers a good surgical view and allowing easy dissection.
authors.affiliation: Unidad de Urología Pediátrica, Hospital Universitario La Paz, Madrid. sbarrena@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Barrena
authors.forename: R
authors.initials: R
authors.lastname: Aguilar
authors.forename: P
authors.initials: P
authors.lastname: Olivares
authors.forename: R
authors.initials: R
authors.lastname: Lobato
authors.forename: P
authors.initials: P
authors.lastname: López Pereira
authors.forename: M J
authors.initials: MJ
authors.lastname: Martínez Urrutia
authors.forename: E
authors.initials: E
authors.lastname: Jaureguizar
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011467:Prostate / Q000601:surgery*