Abstract | INTRODUCTION: Pyeloureteral duplication is often associated to ureterocele and ectopic ureter. Therapeutic approach of ureterocele is actually a debated subject because of the differences treatments. There is controversy about the classic heminefrectomy with ureterocele aspiration and the minimal invasive endoscopic approach. MATERIAL AND METHODS: We made a retrospective study about 34 children with pyeloureteral duplication associated with ureterocele (26) or with ectopic ureter (8). The election of treatment was mainly based on renal function, showed on gammagraphy. It was performed heminephrectomy and ureterocele aspiration in patients with hypofunctioning upperpole, and surgery saving the kidney when the renal function was normal. RESULTS: CONCLUSION: We consider the heminephrectomy the treatment of choice in pyeloureteral duplication associated with ureterocele and ectopic ureter when gammagraphy studies show hypofunctioning upperpole.
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Authors | I Somoza Argibay, R Méndez Gallart, M Gómez Tellado, E Pais Piñeiro, J Liras Muñoz, E Vázquez Martull, D Vela Nieto |
Journal | Actas urologicas espanolas
(Actas Urol Esp)
2001 Nov-Dec
Vol. 25
Issue 10
Pg. 731-6
ISSN: 0210-4806 [Print] Spain |
Vernacular Title | Tratamiento de las duplicidades pieloureterales asociadas a ureterocele o a uréter ectópico. |
PMID | 11803780
(Publication Type: English Abstract, Journal Article)
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Topics |
- Abnormalities, Multiple
(therapy)
- Adolescent
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Kidney Pelvis
(abnormalities)
- Male
- Retrospective Studies
- Ureter
(abnormalities)
- Ureterocele
(complications)
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