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[Ureterocele in children].
Rafael Alvarado-García1, Jorge Gallego-Grijalva, Gildardo García-Arano
1Clínica de Urología Pediátrica, Centro Médico Nacional 20 de Noviembre, ISSSTE, Serafin Olarte No. 88, Independencia, 03630 México D.F., México.
Cirugia Y Cirujanos
|June 4, 2004
Summary
Ureterocele, a bladder dilation, commonly presents as urinary tract infections in children. Ureteral reimplantation is often preferred for ectopic ureocele treatment.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Urinary Tract Abnormalities
Context:
- Ureterocele involves cystic dilation of the terminal ureter within the bladder.
- It frequently occurs with a double-collector system and affects female pediatric patients.
- This retrospective study analyzes pediatric ureocele cases from 1990-2002.
Purpose:
- To analyze the clinical presentation, diagnosis, and treatment of ureocele in pediatric patients.
- To evaluate the effectiveness of different surgical interventions for ureocele.
Summary:
- The study reviewed 40 pediatric ureocele cases, with a 50% male distribution and an average age of 20 months.
- Urinary tract infection was the primary symptom in 87.5% of cases.
- Ectopic ureocele (62.3%) was more common than orthotopic (37.5%), with ureteral reimplantation being the primary surgical approach for both.
Impact:
- Treatment strategies for ureocele are tailored to kidney function and contralateral kidney capacity.
- Therapeutic options range from endoscopic incision to nephrectomy and reconstruction.
- Ureteral reimplantation and ureterocele resection are favored for most cases.