Details

Autor(en) / Beteiligte

• Aghababian, Aznive
• Mittal, Sameer
• Eftekharzadeh, Sahar
• Hamdan, Dawud
• Weaver, John
• Godlewski, Karl
• Fischer, Katherine
• Long, Christopher
• Weiss, Dana
• Van Batavia, Jason
• Zaontz, Mark
• Zderic, Stephen
• Kolon, Thomas
• Canning, Douglas
• Shukla, Aseem
• Srinivasan, Arun

Titel

Office Based Pediatric Urologic Procedures: A Safe and Effective Alternative to Interventions Under Anesthesia

Ist Teil von

• Urology (Ridgewood, N.J.), 2022-08, Vol.166, p.223-226

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2022

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• To report on our experience performing office-based pediatric urologic procedures. We hypothesize that office-based interventions are safe and effective for children, avoiding unnecessary risk and cost associated with general anesthesia. We retrospectively identified patients undergoing office-based interventions from 2014 to 2019, including lysis of penile or labial adhesions, division of skin bridges, meatotomy and excision of benign lesion. Success was defined as a completed attempt in the office. Failure includes any unsuccessful office attempts. Complications include 30-day ED visits/readmissions and recurrent skin bridge post division of skin bridge. We identified 1326 interventions: 491 lyses of penile adhesions (37%), 320 division of skin bridges (24%), 128 lyses of labial adhesions (10%), 348 meatotomies (26%), and 39 excisions of benign lesions (3%) [Table 1]. There was a >95% success rate reported in every procedure with an overall complication rate of 0.6%. Excision of benign lesion had 100% success rate. ED visits within 30 days are rare (0.2%), and no patients required admission after their procedure [Table 2]. The rate of recurrence was highest following lysis of labial adhesions (13.3%). Of the 54 patients who underwent retreatment, very few required general anesthesia (n = 6). Office-based urologic interventions in children are well tolerated with excellent safety and efficacy. Complications and recurrence are universally low. Ultimately, 99.5% of this cohort was managed under local anesthetics, thereby avoiding the risks of anesthesia use in the pediatric population.