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[Treatment of ureterocele in children]

M D Dzhavad-Zade, S M Dzhavad-Zade, E Ia Gusseĭnov

    Urologiia (Moscow, Russia : 1999)
    |August 16, 2005
    PubMed

    Insights

    Modified surgical techniques for ureterocele correction, including endoscopic methods, show high success rates and reduced recurrence in pediatric and adult patients. These approaches enhance antireflux mechanisms for improved outcomes.

    Area of Science:

    • Urology
    • Pediatric Surgery
    • Surgical Innovation

    Context:

    • Ureteroceles, particularly heterotopic types in children, present unique surgical challenges.
    • Recurrence rates following traditional ureterocele correction can be significant.
    • Adults more commonly present with orthotopic ureteroceles.

    Purpose:

    • To introduce and evaluate a modified surgical correction for ureterocele.
    • To assess the efficacy of endoscopic correction with one-stage lithoextraction.
    • To compare outcomes of different surgical approaches for ureterocele treatment.

    Summary:

    • A modified intravesical mobilization, resection, and transverse re-implantation with antireflux defense was performed.
    • Endoscopic correction involved transverse dissection and partial resection for large ureteroceles, utilizing the residual portion as a valve.
    • Long-term follow-up (up to 3 years) in 23 patients demonstrated superior results with modified plastic and endoscopic techniques compared to simple dissection, with a persistent clinical effect in all cases.

    Impact:

    • The modified techniques facilitate surgical performance and improve the reliability of the antireflux mechanism.
    • Endoscopic correction offers a viable, effective treatment, especially when combined with lithoextraction.
    • These advancements contribute to better long-term management and reduced recurrence of ureterocele.

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