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[Ectopic ureter in infancy and childhood].
Orvosi Hetilap
|May 26, 1991
Summary
Ureteral ectopy, a condition where the ureter bypasses the bladder, was surgically treated in 10 patients. Diagnosis involved various imaging and endoscopic methods, with surgical intervention recommended for affected kidneys.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Imaging
Background:
- Ureteral ectopy presents significant diagnostic and management challenges in pediatric patients.
- Constant wetting and urinary tract infections are common clinical manifestations in affected girls.
Purpose of the Study:
- To review surgical treatments for ureteral ectopy over a 15-year period.
- To highlight diagnostic modalities and advocate for specific surgical approaches.
Main Methods:
- Surgical treatment of 10 patients (2 infants, 7 children, 1 young woman) with ureteral ectopy.
- Diagnostic tools included intravenous urography, voiding cystourethrography, ultrasonography, isotope scan, endoscopy, and bladder instillation with methylene blue.
- Review of clinical findings, drainage sites, and associated anomalies.
Main Results:
- The girl-to-boy ratio was 8:2.
- Common drainage sites included the vestibule, urethra, and vagina.
- Associated anomalies, such as esophageal atresia, were noted in one neonate.
- Bilateral single ureteral ectopy was observed in one patient.
Conclusions:
- Surgical intervention is crucial for managing ureteral ectopy.
- Upper pole nephrectomy and proximal ureterectomy are recommended for duplicated systems with upper pole destruction.
- Early diagnosis and appropriate management are essential for optimal outcomes.