Complete excision or marsupialization of ureteroceles: does choice of surgical approach affect outcome?

The Journal of Urology
Jane Marie LewisWilliam E Kaplan

Abstract

Two accepted open surgical techniques exist for lower urinary tract reconstruction for ureteroceles, that is complete excision/enucleation and marsupialization/partial excision. To our knowledge it is currently unknown whether 1 method offers better clinical outcomes. We sought to answer this question. We retrospectively reviewed the records of patients who underwent open surgical repair for ureterocele at 3 academic institutions. The 2 groups (complete excision vs marsupialization) were compared for each clinical outcome, including ongoing vesicoureteral reflux, new bladder diverticulum, hydronephrosis, continence, urinary tract infection and voiding dysfunction. Each clinical outcome was analyzed for independence from the surgical method. A total of 33 cases of complete excision and 24 of marsupialization were collected. The excision and marsupialization groups were similar with respect to patient age at surgery, gender and average followup (55 and 38 months, respectively). Most ureteroceles were unilateral and part of a duplicated system. Approximately half were intravesical and vesicoureteral reflux was the primary indication for surgery. In the excision group 82% of ureteroceles were previously punctured but only 50% were ...Continue Reading

References

May 1, 1979·The Journal of Urology·W H Hendren, M E Mitchell
Aug 1, 1989·The Journal of Urology·R M DecterE T Gonzales
Aug 1, 1968·British Journal of Urology·F D Stephens
Feb 1, 1969·British Journal of Urology·J H Johnston, L M Johnson
Feb 25, 1998·The Journal of Urology·C PfisterP Mitrofanoff
Sep 29, 1998·The Journal of Urology·K AbrahamssonK Hjälmås
Nov 4, 2000·The Journal of Urology·T P de JongJ D van Gool
Oct 9, 2003·The Journal of Urology·Neil D ShermanMoneer K Hanna
Sep 17, 2004·The Journal of Urology·Marcos Perez-BrayfieldHal C Scherz
Sep 9, 2005·The Journal of Urology·Michael Y HanH Gil Rushton
Mar 7, 2006·The Journal of Urology·Tania Direnna, Michael P Leonard

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Citations

Dec 3, 2014·Journal of Pediatric Urology·S A CohenG Chiang
Mar 31, 2015·The Journal of Urology·Annabel Paye-JaouenAlaa El-Ghoneimi
Jun 6, 2009·Nature Reviews. Urology·Marco Castagnetti, Alaa El-Ghoneimi
Jun 3, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Begoña AdiegoWaldo Sepulveda

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