ESPU Congress 2018 - Abstract Book

208 29 th CONGRESS OF THE ESPU VD-18 (VS without presentation) LAPAROSCOPIC SIGMOID VAGINOPLASTY Andrea BALTHAZAR  1 , David LANNING  2 and C. D. Anthony HERNDON  1 1) VCU Health System, Urology, Richmond, USA - 2) VCU Health System, PEDIATRIC SURGERY, Richmond, USA PURPOSE Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHs) is a congenital anomaly of the female genital tract that may require vaginal reconstruction. Laparoscopic sigmoid vaginoplasty allows adequate anatomic and physiologic functions that are essential for sexual-wellbeing. The goal of laparoscopic sigmoid vaginoplasty is a to create a functional self-lubricating vagina via minimally invasive procedure. MATERIAL AND METHODS A 16 year-old female diagnosed with MRKHs syndrome. We used a four port laparoscopic ap- proach. The selection of the sigmoid graft was based on preserving the left colic artery and an adequate length of vascular pedicle to ensure a tension free graft. Sigmoid continuity was restored using a side-to-side linear stapled anastomosis. The sigmoid graft was rotated 180 degrees bring- ing the proximal end into the pelvis. A transperineal hand sewn anastomosis was done to create a neovagina. RESULTS A functional neovagina was created using sigmoid graft measuring approximately 8 cm in length and two fingers in width. Sigmoid neovagina has advantages including its own inherent blood sup- ply, inherent lubrication and distensiblility. There was no intra-operative or post-operative bowel complication. There were no early or functional complications to date. CONCLUSIONS Laparoscopic vaginoplasty using a sigmoid pedicle graft lends itself to a minimally invasive technique that can be offered to certain patients in need of vaginal reconstruction. It is an ideal procedure for patients with MRKHs. VD-19 (VS without presentation) URETERORENOSCOPIC REMOVAL OF A FOREIGN BODY IN A NEWBORN FOLLOWING FETAL NEPHROSTOMY Alexander SPRINGER Medical university Vienna, Paediatric Urology, Vienna, AUSTRIA PURPOSE To report newborn ureterorenoscopic removal of a foreign body left in the renal pelvis following prenatal placement of a left nephrostomy. MATERIAL AND METHODS Intraoperative video and case report using case notes. RESULTS A female fetus was diagnosed with a huge sacrococcygeal teratoma and fetal left nephrostomy was placed together with intra-uterine drainage of tumor cysts in a different center. The tumor together with the stents and nephrostomy were removed in another center. However, a 2 cms piece of metal had been left in the left renal pelvis causing urinary tract infection. At age 3 months (body weight 4.2 kgs) we ureterorenoscopically removed the foreign body from the left renal pelvis.