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Current management of duplex-system ureteroceles: experience with 41 patients
A M Rickwood1, I Reiner, M Jones
1Regional Department of Paediatric Urology, Royal Liverpool Children's Hospital Alder Hey.
British Journal of Urology
|August 1, 1992
Summary
Duplex-system ureteroceles in children present varied anatomy and function. Treatment requires a flexible approach, ranging from surgery to expectant management, based on individual case presentation and findings.
Area of Science:
- Pediatric Urology
- Medical Imaging
- Surgical Outcomes
Background:
- Duplex-system ureteroceles are congenital anomalies affecting the urinary tract.
- Clinical presentation varies, with some diagnosed prenatally and others presenting with symptoms.
Purpose of the Study:
- To describe the clinical experience with duplex-system ureteroceles in infants and children.
- To evaluate the functional outcomes and optimal treatment strategies for this condition.
Main Methods:
- Retrospective review of 41 pediatric patients with duplex-system ureteroceles.
- Assessment of renal function using 99mTc-DMSA scans.
- Analysis of various surgical interventions and expectant management.
Main Results:
- Lower polar vesicoureteric reflux (VUR) was common, while bladder outflow obstruction was rare.
- Upper polar renal function was negligible in ectopic ureteroceles but preserved in intravesical ones.
- Surgical outcomes varied, with some requiring further intervention, while expectant management was successful in a subset of patients.
Conclusions:
- The management of duplex-system ureteroceles necessitates a tailored, flexible approach.
- Treatment strategies should consider the specific anatomy, degree of reflux, and renal function.
- Expectant management may be a viable option for select cases.