ESPU Congress 2018 - Abstract Book

209 11–14 APRIL, 2018, HELSINKI, FINLAND CONCLUSIONS A foreign body within the renal collecting system following in utero intervention is a very unusual finding not adherent to any clinical guideline. However, endourological removal can be performed safely in the newborn period. VD-20 (VS without presentation) THIERSCH DUPLAY URETHROPLASTY WITHOUT MEATOPLASTY Mark ZAONTZ and Christopher LONG The Children's Hospital of Philadelphia, Urology, Philadelphia, USA PURPOSE When performing the standard Thiersch Duplay urethroplasty procedure, it has been the norm to extend the parallel skin incisions to the top of the glans. This invariably led to performing a formal sutured meatoplasty. We have modified this approach in order to avoid meatal sutures and thus prevent the scarring that may subsequently develop. Herein we present our video. MATERIAL AND METHODS 28 boys with a mean age of 8 months underwent the Thiersch Duplay urethroplasty without sutured meatoplasty. The essence of the modification is in making transverse marking pen lines at the point where we deem the natural starting point of the neomeatus. The U-shaped marking line that follows around the hypospadias meatus only extends superiorly to the previously placed transverse marking lines. Thus when the Thiersch tube is created, the suture line stops right at the level of where the new meatus should naturally be situated. As a result, the meatus heals without scarring and achieves a natural, normal slit like appearance. RESULTS We had consistently excellent cosmetic and functional results on all 28 boys with no complications to date with a mean follow-up of 4 months. CONCLUSIONS The modified Thiersch Duplay without meatoplasty provides a cosmetically normal appearing orthotopic slit like meatus. While folow-up is admittedly short, the improved meatal cosmetic results should stand the test of time. We recommend that this technique be considered by those recon- structive pediatric urologists who desire not only excellent functional results in hypospadias surgery but excellent cosmesis as well. VD-21 (VS without presentation) STEP BY STEP TRANSVESICAL BILATERAL URETERIC REIMPLANTATION IN CHILDREN: A VIDEO ATLAS M S ANSARI Sanjay Gandhi Postgraduate Institute of Medical Sciences, Pediatric Urology, Department of Urology and renal transplantation, Lucknow, INDIA PURPOSE Contemporary literature has proven the safety and efficacy of transvesical ureteric reimplantation in children. Most of these series have described the results of unilateral reimplantation. Here in the author describes the technique of transvesical bilateral ureteric reimplantation in a step by step manner in children.