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Bladder dysfunction after bilateral ectopic ureterocele repair.

Neil D Sherman1, Jeffrey A Stock, Moneer K Hanna

  • 1Division of Urology, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA.

The Journal of Urology
|October 9, 2003
PubMed
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Pediatric patients undergoing bilateral ectopic ureterocele repair experienced significant postoperative voiding dysfunction and bladder emptying issues. This highlights potential risks associated with this surgical procedure in young patients.

Area of Science:

  • Pediatric Urology
  • Surgical Outcomes
  • Bladder Function

Background:

  • Bilateral ectopic ureteroceles are a rare congenital anomaly.
  • Surgical management aims to preserve renal function and improve lower urinary tract symptoms.

Purpose of the Study:

  • To evaluate the postoperative outcomes, specifically bladder function, in pediatric patients after bilateral ectopic ureterocele repair.

Main Methods:

  • Retrospective review of 117 patients with ureteroceles, focusing on 12 with bilateral ectopic ureteroceles.
  • Analysis of initial and definitive surgical treatments, including transureteral puncture, unroofing, reimplantation, heminephroureterectomy, ureteroureterostomy, ureterocelectomy, and ureteroneocystotomy.

Main Results:

Related Experiment Videos

  • Significant morbidity observed, with 70% of patients showing poor bladder emptying and high residual urine.
  • Urodynamic studies in 3 patients indicated increased bladder compliance and large residual volumes, with 2 requiring clean intermittent catheterization.
  • Recurrent symptomatic bacteriuria affected 7 of 12 patients.

    • Conclusions:

    • Bilateral ectopic ureterocele repair is associated with an increased risk of postoperative voiding dysfunction.
    • The origin of this risk (preoperative vs. surgical complication) requires further investigation.