Does the endoscopic technique of ureterocele incision matter?

The Journal of Urology
D Ben MeirP A Dewan

Abstract

Endoscopic ureterocele decompression is a well established procedure in children. However, an accurate endoscopic incision may be challenging in large ectopic ureteroceles. We describe a percutaneously assisted technique to facilitate the ease of ureterocele incision and review other described methods. We reviewed the medical records of 12 children with ectopic ureteroceles subtending a double collecting system who underwent endoscopic, percutaneously assisted incision. Six ureteroceles were on the left side, 5 were on the right side and 1 child had bilateral ureteroceles. Decompression results were evaluated by ultrasound and Tc-mercaptoacetyltriglycine imaging during a mean of 2.8 years of followup. There were 7 girls and 5 boys. Mean age at presentation was 11.6 months (range 1 week to 6 years). The decompression success rate was 84% (11 of 13 renal units), and improved renal function and drainage was noted in 5 of 12 patients (41.6%). Seven of 12 patients had vesicoureteral reflux, of whom 2 were asymptomatic at followup and, hence, were treated conservatively. Five children underwent surgery because of recurrent urinary tract infections. Although our results are similar to those of other methods, percutaneously assisted cy...Continue Reading

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Citations

Jun 6, 2009·Nature Reviews. Urology·Marco Castagnetti, Alaa El-Ghoneimi
Jul 21, 2004·Journal of Endourology
Nov 1, 2013·Journal of Endourology·Adam D MaxwellThomas S Lendvay
Dec 3, 2014·The Urologic Clinics of North America·Matthew D Timberlake, Sean T Corbett
Feb 14, 2007·The Journal of Urology·Abdolmohammad KajbafzadehShahram Moosavi
Jul 28, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Katsuya Nonomura, Hidehiro Kakizaki
Feb 25, 2018·Current Urology Reports·Hoang-Kim Le, George Chiang
Apr 27, 2019·Frontiers in Pediatrics·Paolo CaioneNicola Capozza

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