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Management of duplex-system ureterocele
Bhanu Mariyappa1, Andrew Barker, Naeem Samnakay
1Department of Paediatric Surgery, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.
Journal of Paediatrics and Child Health
|December 31, 2013
Summary
Complete reconstruction for duplex-system ureterocele in children is effective. Surgical success rates are high, with no adverse effects on continence in infants.
Area of Science:
- Pediatric Urology
- Surgical Outcomes
- Congenital Abnormalities
Background:
- Duplex-system ureterocele is a complex congenital anomaly.
- Treatment requires careful consideration of surgical approach and potential complications.
Purpose of the Study:
- To analyze treatment modalities for duplex-system ureterocele in children.
- To evaluate functional outcomes and continence post-treatment.
- To review the relevant medical literature.
Main Methods:
- Retrospective review of medical records for patients treated between 2001 and 2011.
- Analysis of different surgical interventions including incision, nephroureterectomy, and reimplantation.
- Assessment of functional outcomes and urinary continence at follow-up.
Main Results:
- Twenty-two cases of duplex-system ureterocele were identified.
- Excision of ureterocele with common-sheath reimplant or nephroureterectomy with lower-moiety reimplantation achieved curative results in all cases.
- Functional outcomes were good, and continence was maintained in most assessed patients.
Conclusions:
- Complete reconstruction is safe and effective in infants.
- Retained ureterocele may lead to a higher rate of secondary procedures.
- Surgical success is high with appropriate reconstructive techniques.
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