Condom-Assisted Transurethral Resection: A New Surgical Technique for Urethral Tumor

Kazuhiro Sato, Motofumi Suzuki, Masayoshi Nagata, Hiroaki Nishimatsu, Akira Ishikawa, Yasuhiko Igawa, Haruki Kume, Yukio Homma
DOI: 10.4236/ss.2010.12009                

Abstract

Backgrounds: It is difficult to develop clear endoscopic field during transurethral resection (TUR) of urethral tumors, because irrigation water easily spills out from the meatus. We have devised a surgical technique to facilitate TUR of urothelial tumors. Methods: A 79-year old man developed urethral tumors in the anterior urethra and fossa navicularis 6 months after TUR of bladder tumor. We covered his penis and the resectoscope with a tip-cut condom. The tip-end of condom and the resectoscope sheath was tightly sealed and irrigation water was filled inside the condom. Results: The urethral tumors were successfully resected under a clear vision by filling irrigation water inside a tip-cut condom that covered over the resectoscope and the penis. Conclusion: This technique may be useful for TUR of anterior urethral tumors, especially tumors at fossa navicularis, which is often associated with difficulty in obtaining clear surgical vision.

Keywords

Urethral Tumor, Fossa Navicularis, TUR, Condom

Conflicts of Interest

The authors declare no conflicts of interest.

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