Related Experiment Videos
Intravesical ureterocele in children
C P Shein1, Y J Liao, C S Hung
1Department of Pediatric Nephrology, Taipei Municipal Women and Children's Hospital, Taiwan, Republic of China.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|November 1, 1994
Summary
Intravesical ureteroceles in children, often found incidentally via ultrasound, can cause significant hydronephrosis. Early detection and surgical intervention are key for managing this congenital urinary tract anomaly.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
- Congenital Abnormalities
Background:
- Intravesical ureteroceles are congenital anomalies of the ureter.
- They can lead to urinary tract obstruction and renal damage in pediatric patients.
- Association with single collecting systems is a recognized variant.
Purpose of the Study:
- To report the incidence and clinical presentation of intravesical ureteroceles in children.
- To evaluate the diagnostic utility of ultrasound and intravenous urography.
- To describe the management and outcomes of affected children.
Main Methods:
- Retrospective review of 16 children diagnosed with intravesical ureteroceles over six years.
- Analysis of imaging findings including ultrasound and intravenous urography.
- Review of clinical presentation, management, and follow-up data.
Main Results:
- Eighteen ureteroceles were identified in 16 children, often incidentally via ultrasound.
- Hydronephrosis and hydroureter were present in 10 patients; 5 had nonfunctioning ipsilateral kidneys.
- Ultrasound detected ureteroceles as cystic masses; IVU showed cobra-head dilatation or filling defects.
Conclusions:
- Intravesical ureteroceles are detectable by ultrasound and can be associated with significant renal compromise.
- Management varied, with surgery in 7 patients and outpatient follow-up in 9.
- Prompt diagnosis and appropriate management are crucial for optimizing outcomes in pediatric ureterocele cases.