Watchful waiting for prenatally detected ureteroceles

The Journal of Urology
Tania Direnna, Michael P Leonard

Abstract

Ureteroceles are commonly detected by prenatal ultrasound. Although many require surgical intervention due to obstruction of more than one renal moiety or obstruction of the bladder neck, some may be carefully observed. The objective of this study was to assess the outcome of conservative management in select cases of prenatally detected ureteroceles at a tertiary care pediatric hospital. We retrospectively reviewed the charts of patients with ureteroceles detected on prenatal ultrasound who were treated nonsurgically between 1990 and 2001. A total of 10 cases were detected in the course of the chart review, with 6 involving duplex system and 4 involving single system ureteroceles. Median followup was 5 years (range 1 to 11). Patients were followed with routine ultrasound at 3 to 6-month intervals for the first 2 years, and at 6-month to 2-year intervals thereafter. Voiding cystourethrogram and renal scans or IVPs were performed initially in all patients. Those with vesicoureteral reflux were followed with annual or biennial cystogram until reflux resolution. Antibiotic prophylaxis was routinely prescribed for an average duration of 1.5 years. Initial ultrasound revealed unilateral hydronephrosis in all patients, with complete ...Continue Reading

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Citations

May 9, 2012·Nature Reviews. Urology·Marco CastagnettiWaifro Rigamonti
Dec 3, 2014·The Urologic Clinics of North America·Matthew D Timberlake, Sean T Corbett
Jan 2, 2015·Journal of Indian Association of Pediatric Surgeons·Conjeevaram R ThambidoraiZulfiqar M Annuar
Aug 30, 2008·The Journal of Urology·Jane Marie LewisWilliam E Kaplan
Dec 6, 2006·The Urologic Clinics of North America·Katherine C Hubert, Jeffrey S Palmer
Dec 7, 2007·Seminars in Fetal & Neonatal Medicine·Jenny Yiee, Duncan Wilcox
Jun 6, 2009·Nature Reviews. Urology·Marco Castagnetti, Alaa El-Ghoneimi
Aug 4, 2020·IJU Case Reports·Kazutaka Maruo, Kazuyuki Nishinaka
Feb 25, 2018·Current Urology Reports·Hoang-Kim Le, George Chiang
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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