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Related Experiment Videos

Ectopic ureteroceles in children.

W A Brock, G W Kaplan

    The Journal of Urology
    |June 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Ectopic ureteroceles, often found in young children, are best diagnosed with a high suspicion. Surgical removal of the ureterocele and affected ureter (total heminephroureterectomy) offers a high success rate.

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    Area of Science:

    • Pediatric Urology
    • Congenital Anomalies
    • Urinary Tract Abnormalities

    Background:

    • Ectopic ureteroceles are cystic dilatations of the ureter associated with duplicated or malpositioned ureters.
    • These anomalies are frequently diagnosed in young children, with a notable female predominance.
    • Urinary tract infections are the most common presenting symptom.

    Purpose of the Study:

    • To review the clinical experience with ectopic ureteroceles in children.
    • To evaluate diagnostic and treatment strategies for this condition.
    • To assess the outcomes of surgical management.

    Main Methods:

    • Retrospective review of 22 children treated for ectopic ureteroceles over a 7-year period.
    • Analysis of patient demographics, presentation, diagnostic methods, and treatment outcomes.

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  • Focus on surgical intervention, specifically total heminephroureterectomy and ureterocele excision.
  • Main Results:

    • The majority of patients (over 50%) were under 3 years old at presentation.
    • A 3:1 female to male ratio was observed.
    • Urinary infection was the most frequent presenting complaint.
    • Diagnosis relies on a high index of clinical suspicion.
    • Total heminephroureterectomy and ureterocele excision yielded satisfactory results in 87% of cases.

    Conclusions:

    • Ectopic ureteroceles require prompt diagnosis and tailored treatment.
    • Surgical management, particularly total heminephroureterectomy, is effective.
    • Early suspicion and intervention are crucial for favorable outcomes in pediatric patients.