Successful management of hair follicles following urethroplasty with holmium:YAG laser epilation: A case report

Adem Sancı; Başak Gülpınar; Ömer Gülpınar

doi:10.28982/josam.646614

Authors

Adem Sancı https://orcid.org/0000-0003-2229-8234
Başak Gülpınar https://orcid.org/0000-0002-4733-1099
Ömer Gülpınar https://orcid.org/0000-0002-0869-708X

DOI:

https://doi.org/10.28982/josam.646614

Keywords:

Laser, Urethroplasty, Hair follicles, Epilation, Stone

Abstract

A 27-year-old male presented with recurrent urinary tract infections, calculus formation and hair follicles in urine following urethroplasty. The patient was treated with urethroscopic holmium laser in 2012, which was performed by Beiko for the first time in the literature to remove stones and epilate hair follicles. At 3-month, 3-year and 6-year follow-ups, the patient was symptom and infection-free. Urethrocystoscopy was performed in the 6-year follow-up, and no stone formation was observed. There were only a few hair follicles that were too short to require re-surgery. Urethral hair follicles and stone formation are uncommon long term complications following urethroplasty. Endoscopic holmium laser hair epilation is a rarely performed treatment option for hair follicles and urethral stone. Holmium:YAG laser epilation may be an alternative, minimally invasive treatment option with successful long term outcomes.

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References

Rogers HS, Mc Nicholas TA, Blandy JP. Long-term results of one-stage scrotal patch urethroplasty. Br J Urol. 1992 Jun;69(6):621-8.

Crew JP, Nargund V, Fellows GJ. Symptomatic urethral hair ball and diverticulum complicating island flap urethroplasty. Scand J Urol Nephrol. 1996 Jun;30(3):231-3.

Singh I, Hemal AK. Recurrent urethral hairball and stone in a hypospadiac: management and prevention. J Endourol. 2001 Aug;15(6):645-7.

Beiko D, Pierre SA, Leonard MP. Urethroscopic holmium: YAG laser epilation of urethral diverticular hair follicles following hypospadias repair. J Pediatr Urol. 2011 Apr;7(2):231-2.

Bayraktar Ş, Çağman S, İzgi B, Örekici Temel G. Clinical characteristics and results of laser peripheral iridotomy of pigment dispersion syndrome. Journal of Surgery and Medicine. 2017 Dec;1(3):48-44.

Kaneko T, Nishimatsu H, Ogushi T, Sugimoto M, Asakage Y, Kitamura T. Laser hair removal for urethral hair after hypospadias repair. Nihon Hinyokika Gakkai Zasshi. 2008 Jan;99(1):35-8.