Journal of pediatric urology · 2025
ACT ™ periurethral adjustable balloons in a 9 years-old patient with female epispadias: A step-by-step video presentation and results of a 5 cases-series of epispadias and neurogenic bladder.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Alliot Hortense, Leclair Marc-David, Perrouin-Verbe Marie-Aimée, Loubersac Thomas
Аннотация
PURPOSE: We present a step-by-step video of periurethral adjustable ACT balloon (PUAB) implantation in children with stress urinary incontinence (SUI) and our preliminary results in a case-series.
MATERIALS & METHODS: The case of a 9-year-old girl with primary female epispadias with SUI due to intrinsic sphincter deficiency is presented. The patient underwent a PUAB implantation: each step of the procedure is described in detail in the video. We also report results of our case series, including 3 girls (2 neurogenic bladder and 1 primary epispadias and 2 boys (1 neurogenic bladder and 1 epispadias) with a median age at surgery of 10 years.
RESULTS: The balloons were implanted percutaneously under general anesthesia, below the bladder neck, through labia majora or sub scrotal incision, with fluoroscopic and endoscopic control. The preoperative median 24-h pad test was 200 g (100; 800) and decreased to 15 g (10; 30) at 12 months. All patients had urinary continence improvement: three patients had persistent results, the two other had balloon explantation because of balloon erosion or migration but get dry with new balloon implantation or AUS implantation. The median follow-up was 28 months (14-36).
CONCLUSION: PUAB implantation appears to be effective in treating SUI in children with neurogenic bladder or epispadias.
MATERIALS & METHODS: The case of a 9-year-old girl with primary female epispadias with SUI due to intrinsic sphincter deficiency is presented. The patient underwent a PUAB implantation: each step of the procedure is described in detail in the video. We also report results of our case series, including 3 girls (2 neurogenic bladder and 1 primary epispadias and 2 boys (1 neurogenic bladder and 1 epispadias) with a median age at surgery of 10 years.
RESULTS: The balloons were implanted percutaneously under general anesthesia, below the bladder neck, through labia majora or sub scrotal incision, with fluoroscopic and endoscopic control. The preoperative median 24-h pad test was 200 g (100; 800) and decreased to 15 g (10; 30) at 12 months. All patients had urinary continence improvement: three patients had persistent results, the two other had balloon explantation because of balloon erosion or migration but get dry with new balloon implantation or AUS implantation. The median follow-up was 28 months (14-36).
CONCLUSION: PUAB implantation appears to be effective in treating SUI in children with neurogenic bladder or epispadias.