Long-term Management of Ureterocele in Duplex Collecting Systems: Reconstruction Implications

Current Urology Reports
Hoang-Kim Le, George Chiang

Abstract

Significant variance exists in the management of duplex collecting system ureteroceles (DSU). There is a great spectrum in classification, management, and surgical interventions. The practice of performing bladder level operations for vesicoureteral reflux (VUR) and trigonal anatomic distortion, either after ureterocele puncture or in a single setting, has come into question as to whether all DSU patients require it. In this review, we sought to discuss DSU management trends and the need for bladder reconstruction in these patients, as well as to describe our institution's practices. Recent advances regarding DSU management revolve around differing surgical approaches, although adequately powered randomized control trials are lacking. These approaches include nonoperative management, various forms of endoscopic puncture, ureteroureterostomy, and most recently upper pole ureteral ligation. A common theme appears to reflect the acceptance that "less is more" when it comes to managing DSU. There is no consensus for the decision to treat or the surgical approach of DSU. Ureteral reimplantation and bladder neck reconstruction appears to be unnecessary in a significant portion of the DSU population, but ureterocele treatment needs to...Continue Reading

References

Sep 1, 1979·The Journal of Urology·R L Kroovand, A D Perlmutter
Jul 1, 1990·The Journal of Urology·M A RichJ W Duckett
Aug 1, 1989·The Journal of Urology·R M DecterE T Gonzales
Jun 1, 1971·Journal of Pediatric Surgery·W H Hendren, G J Monfort
Feb 1, 1971·The Australian and New Zealand Journal of Surgery·D Stephens
Dec 1, 1984·The Journal of Urology·K I GlassbergF D Stephens
Jun 1, 1984·The Journal of Urology·A A CaldamoneJ W Duckett
Jan 1, 1995·The Journal of Urology·D E Coplen, J W Duckett
Sep 29, 1998·The Journal of Urology·K AbrahamssonK Hjälmås
Jul 20, 2002·The Journal of Urology·Nicholas M HolmesLaurence S Baskin
Oct 9, 2003·The Journal of Urology·Neil D ShermanMoneer K Hanna
Apr 1, 1951·The British Journal of Surgery·A J ALLDRED, T T HIGGINS
Jul 13, 2004·The Journal of Urology·D Ben MeirP A Dewan
Sep 9, 2005·The Journal of Urology·Michael Y HanH Gil Rushton
Mar 7, 2006·The Journal of Urology·Tania Direnna, Michael P Leonard
Sep 2, 2006·The Journal of Urology·Esther Byun, Paul A Merguerian
Aug 21, 2007·The Journal of Urology·Boris ChertinPrem Puri
Sep 28, 2010·Journal of Pediatric Urology·Douglas W StormVenkata R Jayanthi
Mar 26, 2013·Journal of Pediatric Urology·Guy HidasIrene McAleer
Dec 3, 2014·The Journal of Urology·Dana A Weiss
Dec 3, 2014·Journal of Pediatric Urology·S A CohenG Chiang
Dec 18, 2015·Urology·R GanderJ Lloret

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