Application of transcystoscopic holmium laser sieve-shaped fenestration in the treatment of ureteral cysts in 41 children
10.3969/j.issn.1009-8291.2025.06.009
- VernacularTitle:经膀胱镜钬激光筛孔状开窗术在41例儿童输尿管囊肿治疗中的应用
- Author:
Yuming GUO
1
;
Wenwen ZHU
1
;
Yongsheng CAO
1
Author Information
1. Graduate School of Wannan Medical College, Department of Urology, Anhui Provincial Children's Hospital, Hefei 230051, China
- Publication Type:Journal Article
- Keywords:
holmium laser;
ureteral cyst;
sieve-shaped fenestration;
cystoscopy;
children
- From:
Journal of Modern Urology
2025;30(6):504-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the efficacy of transcystoscopic holmium laser sieve-shaped fenestration in the treatment of ureteral cysts in children. Methods: The clinical data of 41 children with ureteral cysts treated in our hospital during Jan.2019 and Dec.2023 were retrospectively analyzed.All children received this surgery.The perioperative indicators and postoperative outcomes were recorded. Results: All operations were successful, the average operation time being (32.20±11.49) min.During the 12-month follow-up, the cysts were reduced or the obstructive symptoms were relieved in 31 cases, and the cysts completely disappeared in 6 cases.Vesicoureteral reflux (VUR) developed in 4 cases, 1 of which had grade Ⅱ VUR with no obvious symptoms and received conservative treatment.Repeated urinary tract infections developed in 2 cases; obstructive symptoms remained unchanged in 1 case; these 3 cases received vesicoureteral replantation.Two days before operation and 3 months after operation, the ureter diameter was (9.95±2.38) mm and (7.41±3.39) mm (t=3.16, P＜0.05), the anteroposterior diameter of the renal pelvis was (13.32±2.63) mm and (9.07±3.02) mm (t=6.86, P＜0.01). Conclusion: Transcystoscopic holmium laser sieve-shaped fenestration for children with ureteral cysts has good efficacy, little trauma and few complications.It can quickly relieve obstructive symptoms and can be used as the initial treatment of ureteral cysts.
