title: Comparison of laparoscopic excision versus open transvesical excision for symptomatic prostatic utricle in children.
abstract: OBJECTIVE
  The aims of this study were to report our clinical experience with laparoscopic excision (LE) and to compare the outcomes of LE versus open transvesical excision (OTE) for the management of prostatic utricle (PU) in children.
  
  
  METHODS
  This was a retrospective single-center study of 14 children who underwent OTE or LE for managing symptomatic PU between April 2003 and December 2014. Age, utricle size, operative time, estimated blood loss, duration of hospital stay, indwelling time of the urethral catheter, presence of residual postoperative utricular stump, and complications were compared between the two groups.
  
  
  RESULTS
  There were no significant differences in age or utricle size between the two groups. Compared to the OTE group, the LE group experienced shorter operative times, lower estimated blood losses, and shorter hospital stays. Indwelling time of the urethral catheter was nearly 8days in the OTE group and 6days in the LE group. All patients had a follow-up visit between 6months and 2years after surgery. Two patients in the OTE group had transient UTI. Postoperative VCUG showed minimal residual utricular stump for 3 patients in the OTE group. However, no patient in either group required further operative therapy.
  
  
  CONCLUSIONS
  LE is a safe and feasible procedure for symptomatic PU in children. Compared to OTE, LE can provide minimally invasive access for achieving good exposure with good short-term outcomes.
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China; Southern Medical University, Guangzhou, Guangdong, 510000, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Jia
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China.
authors.forename: Guo-Chang
authors.initials: GC
authors.lastname: Liu
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China.
authors.forename: Li-Yu
authors.initials: LY
authors.lastname: Zhang
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China.
authors.forename: Ying-Quan
authors.initials: YQ
authors.lastname: Wen
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China.
authors.forename: Wen
authors.initials: W
authors.lastname: Fu
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China.
authors.forename: Jin-Hua
authors.initials: JH
authors.lastname: Hu
authors.affiliation: Department of pediatric urology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China; Southern Medical University, Guangzhou, Guangdong, 510000, China. Electronic address: xia-huimin@foxmail.com.
authors.forename: Hui-Min
authors.initials: HM
authors.lastname: Xia
mesh_terms: D002648:Child; D002675:Child, Preschool; D004240:Diverticulum / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D012189:Retrospective Studies; D016896:Treatment Outcome; D014522:Urethral Diseases / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014564:Urogenital Abnormalities / Q000175:diagnosis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
keywords: Laparoscopic excision; Open transvesical excision; Prostatic utricle