Pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope

• Published in: Journal of pediatric urology Vol. 16; no. 5; pp. 727 - 728
• Main Authors: Yu, Jiwoong, Kim, Jungyu, Baek, Minki
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.10.2020
• Subjects: Bladder tumor; Laparoscopic surgery; Pediatric patient; Pneumovesicum; Pneumovesicum; Laparoscopic surgery; Bladder tumor; Pediatric patient
• ISSN: 1477-5131; 1873-4898
• DOI: 10.1016/j.jpurol.2020.08.026

To describe our experience with pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope. An 11-year-old boy presented with gross hematuria. The patient was found to have a 2 cm-sized bladder tumor on ultrasound. The patient's urethra was too small to use a pediatric resectoscope, making it impossible to perform a transurethral resection of the bladder tumor. Therefore, pneumovesicoscopic bladder tumor resection was performed. En-bloc resection was performed successfully using 3 mm laparoscopic instruments, and the tumor was safely retrieved within an endo-bag made with a surgical glove. On postoperative day 1, the Foley catheter was removed and the patient was discharged. The pathology report described bladder papillary urothelial carcinoma, grade II/III without lamina propria invasion. The patient underwent follow-up with ultrasonography and urine cytology every three to six months. There was no recurrence for 21 months after surgery. This video demonstrates a pneumovesicoscopic approach for the treatment of bladder tumor in a young patient whose urethra was too small to use a resectoscope. Pneumovesicoscopic bladder tumor resection is technically feasible and safe.