Pneumovesicoscopic management of bladder neoplasms in children: three case reports

• Published in: La Pediatria medica e chirurgica Vol. 45; no. 1
• Main Authors: Cobellis, Giovanni, Torino, Giovanni, Lisi, Gabriele, Ilari, Michele, Bindi, Edoardo
• Format: Journal Article
• Language: English
• Published: Italy PAGEPress Publications 10-07-2023
• Subjects: Biopsy; Bladder neoplasms; Child; Humans; laparoscopic intravesical approach; Neoplasms, Glandular and Epithelial; pediatric surgery; pneumovesicoscopy; pneumovesicum; Urinary Bladder - pathology; Urinary Bladder - surgery; Urinary Bladder Neoplasms - diagnosis; Urinary Bladder Neoplasms - pathology; Urinary Bladder Neoplasms - surgery
• ISSN: 0391-5387; 2420-7748
• DOI: 10.4081/pmc.2023.307

Urothelial bladder neoplasms (UBN) are uncommon in children and are poorly understood. Their management is contentious, and there are currently no pediatric guidelines available, making it difficult to envision a surgical approach that can be defined as the gold standard for the treatment of these diseases. Pneumovesicoscopy, which has already been used to treat other urological diseases, could be a promising treatment option for selected cases of this group of pathologies. We present our experience with three pediatric UBN cases in which pneumovesicoscopy was used for complete excision of a perimeatal papilloma in two cases and biopsy of a botryoid rhabdomyosarcoma in one. The pneumovesicoscopic approach, in our experience, provided a viable alternative technique for the management of selected cases of UBN.