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Related Experiment Videos

[Double kidney with ureterocele].

I Oesch, M Bettex

    Der Urologe. Ausg. A
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This study analyzes ureteroceles in children, finding ureteric reimplantation preferable to nephroureterectomy due to frequent bilateral disease and associated malformations, despite potential postoperative reflux.

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    Area of Science:

    • Pediatric Urology
    • Surgical Management of Ureteroceles
    • Congenital Urological Abnormalities

    Background:

    • Ureteroceles are congenital outpouchings of the ureter into the bladder.
    • They are often associated with duplex collecting systems and other urological malformations.
    • Management strategies vary, impacting long-term outcomes.

    Purpose of the Study:

    • To analyze the clinical and radiological features of ureteroceles in a pediatric cohort.
    • To evaluate the outcomes of different surgical management techniques for ureteroceles.
    • To determine the optimal surgical approach considering associated anomalies and potential complications.

    Main Methods:

    • Retrospective analysis of 26 children with ureteroceles.
    • Surgical interventions included ureterocele resection with en bloc ureteral reimplantation, nephroureterectomy, and combined procedures.

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  • Clinical data and radiological findings were reviewed.

    • Main Results:

    • Ureteroceles were associated with unilateral (23 cases) and bilateral (3 cases) double collecting systems.
    • En bloc ureteral reimplantation was performed in 14 children, with 5 experiencing postoperative vesicoureteral reflux.
    • Nephroureterectomy was performed in 11 cases, and 4 cases underwent nephroureterectomy.

    Conclusions:

    • Ureteric reimplantation is preferred over primary nephroureterectomy for ureteroceles, especially in cases of bilateral disease or associated malformations.
    • Careful surgical planning is essential to minimize complications like postoperative reflux.
    • Early intervention and appropriate surgical technique are crucial for favorable outcomes in pediatric ureterocele management.