How prenatal ultrasound can change the treatment of ectopic ureterocele in neonates?

The authors present a series of 25 neonates with duplex ureterocele diagnosed in utero. Initial treatment was endoscopic incision (El) of the ureterocele in 18 cases (72%). Ureterocele was bilateral in one case. El achieved satisfactory decompression of ureterocele in 100% (1 bilateral). Reflux in the upper pole (UP) was created in 44.4%, and UP was preserved in 44.4%. Reconstruction of the lower urinary tract was accomplished in 15 (83.3%) patients who had had endoscopic treatment. No incontinence was observed. El of the ectopic ureterocele should be considered as a first choice approach in neonates. Prompt intervention allows successful decompression of ureterocele and can sometimes improve the function of the renal moiety involved.