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

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DOI: 10.4236/ss.2010.12009    5,292 Downloads   8,921 Views  Citations

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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.

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K. Sato, M. Suzuki, M. Nagata, H. Nishimatsu, A. Ishikawa, Y. Igawa, H. Kume and Y. Homma, "Condom-Assisted Transurethral Resection: A New Surgical Technique for Urethral Tumor," Surgical Science, Vol. 1 No. 2, 2010, pp. 46-48. doi: 10.4236/ss.2010.12009.

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