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Related Experiment Videos

Single system ureteroceles in childhood.

S Sen1, S Ahmed

  • 1Adelaide Children's Hospital, South Australia.

The Australian and New Zealand Journal of Surgery
|November 1, 1988
PubMed
Summary

This study reviewed 15 patients with single system ureterocele, finding urinary tract infections common. Surgical management for ureteroceles yielded satisfactory outcomes, with most patients treated by excision and reimplantation.

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Area of Science:

  • Pediatric Urology
  • Urologic Imaging
  • Surgical Management

Background:

  • Ureteroceles are congenital anomalies of the ureter.
  • Single system ureteroceles can present with urinary tract infections (UTIs) and other urological abnormalities.
  • Diagnosis and management of ureteroceles require careful evaluation.

Purpose of the Study:

  • To review the clinical presentation, diagnostic methods, and surgical outcomes of single system ureteroceles.
  • To evaluate the effectiveness of different management strategies for ureteroceles.
  • To identify associated urological abnormalities in patients with ureteroceles.

Main Methods:

  • Retrospective review of 15 patients diagnosed with single system ureterocele.
  • Analysis of diagnostic imaging modalities including ultrasonography and intravenous pyelography.
  • Evaluation of surgical interventions such as ureterocele excision with ureteric reimplantation and nephro-ureterectomy.
  • Assessment of non-operative management for select cases.

Main Results:

  • Equal male:female incidence observed in the patient cohort.
  • Urinary tract infection was the most common presenting symptom.
  • Intravenous pyelography demonstrated higher sensitivity than ultrasonography for ureterocele detection.
  • Surgical management was successful in the majority of cases, with satisfactory outcomes.
  • Three patients presented with additional major urological abnormalities.

Conclusions:

  • Single system ureteroceles are frequently associated with UTIs.
  • Intravenous pyelography is a sensitive diagnostic tool for ureteroceles.
  • Surgical management, particularly ureterocele excision with reimplantation, offers satisfactory results.
  • Associated urological anomalies should be considered in the management of ureteroceles.

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