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[Ureterocele in children]
J van den Hoek1, T J Haumann, J M van Vugt
1Afd. Kinderurologie, Academisch Ziekenhuis der Vrije Universiteit, Amsterdam.
Insights
This study presents two pediatric cases of ectopic ureteroceles, discussing their development, diagnosis, and treatment. Surgical intervention, including hemi-nephroureterectomy or endoscopic incision, is recommended for infection control and kidney decompression.
Area of Science:
- Pediatric Urology
- Developmental Biology
Background:
- Ectopic ureteroceles are congenital anomalies that can lead to significant urinary tract issues in children.
- Understanding the embryologic origins is crucial for effective diagnosis and management.
Observation:
- Presents two pediatric cases of ectopic ureteroceles.
- Details include embryologic development, presenting symptoms, diagnostic methods, and treatment approaches.
Findings:
- Hemi-nephroureterectomy is identified as the primary treatment of choice.
- Endoscopic incision offers an effective alternative for managing infections and decompressing renal structures in specific cases, allowing for delayed definitive surgery.
Implications:
- Highlights the importance of tailored treatment strategies based on individual patient conditions.
- Suggests that endoscopic management can be a valuable temporizing measure in pediatric ectopic ureteroceles, improving outcomes and patient stability.
Abstract:
Two case reports of children with ectopic ureteroceles are presented. The embryologic development, symptoms, diagnosis and treatment are discussed. Hemi-nephroureterectomy is the treatment of choice. In instances, such as serious urinary tract infections, massive vesicoureteral reflux in other ureters and in single system ureteroceles, endoscopic incision of the ureterocele can be effective in terms of control of infection and decompression of other kidney parts. Definite surgery can be deferred until the child is in a better condition.