Transurethral puncture in management of ectopic ureteroceles

In the past, treatment of ectopic ureteroceles with duplicated collecting systems with little or no function in the upper pole segment has been heminephrectomy, often followed by reconstruction of the ureterovesical junction. Herein we review our initial use of transurethral puncture of ureteroceles to initiate drainage with potential return or improvement of function to the upper pole segment. The initial goal was to do pyelopyelostomy rather than heminephrectomy with less potential morbidity to the patient and preservation of functional renal tissue.