Endoscopic Posterior Urethral Valve excision using hysteroscopic scissors

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Endoscopic Posterior Urethral Valve excision using hysteroscopic scissors Colworths experience. DR OVUNDA JACK OMODU

Endoscopic Posterior Urethral Valve excision using hysteroscopic scissors Colworths experience. DR OVUNDA JACK OMODU CONSULTANT UROLOGIST/ MINIMAL ACCESS SURGEON

Colworths Med Centre Wing A

Colworths Med Centre Wing A

Colworths Med Centre Wing B

Colworths Med Centre Wing B

INTRODUCTION Endourology is the branch of urology that deals with the closed manipulation of

INTRODUCTION Endourology is the branch of urology that deals with the closed manipulation of the urinary tract. Has grown lately to include all urologic minimally invasive procedures. Unlike open surgery, it is performed using small camera and instruments inserted into the urinary tract. Transurethral endourology. surgery is the cornerstone of

INTRODUCTION Posterior urethral valves (PUV) are the most common cause of bladder outlet obstruction

INTRODUCTION Posterior urethral valves (PUV) are the most common cause of bladder outlet obstruction in infant male that impair renal and bladder function. Endoscopic PUV incision is however not commonly practiced in our country compared to valve avulsion using the catheter balloon

INTRODUCTION This study was planned to establish the use of hysteroscopic scissors in incising

INTRODUCTION This study was planned to establish the use of hysteroscopic scissors in incising the posterior urethral valves endoscopically via a paediatric size cystoscope in the absence of a bugbee electrode.

PATIENTS AND METHODS This was a prospective study of endoscopic posterior urethral valve treatments

PATIENTS AND METHODS This was a prospective study of endoscopic posterior urethral valve treatments carried out in Colworths medical centre between November 2013 and April 2016. Information obtained include age, diagnosis, procedure, duration of surgery, and complications.

RESULTS During the period of study, 13 babies who were diagnosed with PUV following

RESULTS During the period of study, 13 babies who were diagnosed with PUV following clinical and radiological evaluations and had the endoscopic valve treatment using the hysteroscopic scissors to incise the valve at 5 and 7 O”clock positions. 10 patients had good stream at immediate post operative period and disappearance of the valve after micturating cystourethrogram.

RESULTS 2 babies had recurrence and needed a second surgery resulting in good urinary

RESULTS 2 babies had recurrence and needed a second surgery resulting in good urinary stream with post operative micturating cystourethrogram(MCU) showing complete disappearance of the valve. 1 child had post operative sepsis and required a suprapubis cystostomy.

CONCLUSION Endoscopic posterior valve excision using hysteroscopic scissors is a safe procedure and is

CONCLUSION Endoscopic posterior valve excision using hysteroscopic scissors is a safe procedure and is regularly performed in Port Harcourt, Nigeria. This obviates the need for a diathermy using bugbee electrode and result are very satisfactory.

THANK YOU

THANK YOU

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