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[Ectopic ureterocele--diagnosis and therapy]
H van Ahlen1, P Brühl, A Bockisch
1Kinderurologie der Urologischen Klinik, Rheinischen-Friedrich-Wilhelms-Universität Bonn.
Zeitschrift Fur Urologie Und Nephrologie
|March 1, 1988
Summary
Ectopic ureteroceles, common congenital urinary tract abnormalities, often present with subtle signs requiring careful diagnosis. Surgical removal of the dysplastic segment is typically the preferred treatment, with ureteropyelostomy reserved for rare, preservable cases.
Area of Science:
- Urology
- Pediatric Urology
- Congenital Abnormalities
Context:
- Ectopic ureteroceles are frequent congenital urinary tract anomalies.
- Clinical presentation is often nonspecific, necessitating detailed diagnostic evaluation.
- Excretory urography remains a key diagnostic modality, despite limitations.
Purpose:
- To discuss diagnostic approaches for ectopic ureteroceles.
- To outline treatment strategies, including surgical options and indications.
- To review the role of excretory urography and other procedures.
Summary:
- Diagnosis relies on identifying subtle findings in imaging studies.
- Primary treatment involves excising the dysplastic upper urinary tract segment and its associated ureter.
- Ureteropyelostomy is indicated only when the segment is deemed functionally preservable.
- Excision of the ureterocele itself has specific primary and secondary indications.
- Endoscopic incision is reserved for uroseptic emergencies, not addressing the underlying anomaly.
Impact:
- Provides a comprehensive overview of ectopic ureterocele diagnosis and management.
- Clarifies treatment indications, emphasizing surgical correction.
- Highlights the limitations of conservative management and the importance of addressing anatomical abnormalities.