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[Ureterocele in childhood. Clinical and radiologic picture]
C Müller-Leisse1, J Tröger, S Nötscher-Kessler
1Abteilung Pädiatrische Radiologie, Czerny-Strahlen-Klinik, Universität Heidelberg.
Insights
This study highlights the importance of ultrasound for diagnosing urinary tract issues in children. Early imaging is crucial for identifying ureteroceles and guiding treatment effectively.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
- Congenital Anomalies
Background:
- Ureteroceles are congenital urinary tract anomalies.
- Diagnosis and management require specific imaging techniques.
- Early detection impacts patient outcomes.
Purpose of the Study:
- To analyze clinical and radiological data of children with ureteroceles.
- To emphasize the diagnostic roles of ultrasound and voiding cystourethrogram.
- To establish imaging guidelines for suspected ureteroceles.
Main Methods:
- Retrospective analysis of clinical and radiological data.
- Inclusion of 50 children diagnosed between 1965 and 1982.
- Review of diagnostic imaging modalities used.
Main Results:
- Ultrasound is recommended for suspected urinary tract infections or voiding abnormalities.
- Intravenous urography diagnoses ureteroceles in over 90% of cases.
- Voiding cystourethrogram is essential before treatment.
Conclusions:
- Ultrasonic examination of the kidney and bladder is mandatory with urinary tract infection signs.
- Ureterocele diagnosis relies on a combination of imaging techniques.
- Appropriate imaging is critical for effective ureterocele management in children.
Abstract:
This is a retrospective analysis of the clinical and radiological data recorded in 45 children with ectopic and 5 children with orthotopic ureteroceles diagnosed from 1965 to 1982. As shown in this article, it is mandatory to perform an ultrasonic examination of kidney and bladder whenever there are signs of urinary tract infection or any abnormalities of voiding. Ureterocele is diagnosed by i.v. urogram in more than 90% of cases; before treatment it is obligatory to perform a voiding cystourethrogram in addition.