Management of duplex-system ureterocele.

Abstract

AIM:

To analyse different treatment modalities, functional outcome and continence in children treated for duplex-system ureterocele and to review the relevant literature.

METHODS:

The medical records of patients with duplex-system ureterocele treated between 2001 and 2011 were reviewed retrospectively.

RESULTS:

Twenty-two cases were identified. Five patients underwent incision of the ureterocele as initial procedure. It was curative in only one patient. Seven patients underwent upper-pole nephroureterectomy. It was curative in 4 cases. Five patients underwent excision of ureterocele and common-sheath reimplant, and the remaining 5 patients had upper-pole nephroureterectomy and simultaneous excision of ureterocele with lower-moiety ureteric reimplantation. These surgeries were curative in all patients. Follow-up ranged from 4 to 84 months. Functional outcome was good in all patients. Fourteen patients were continent at follow-up, and continence was not assessed in the other 8 because of young age.

CONCLUSIONS:

Our data suggest a higher rate of secondary procedures if there is retained ureterocele. Data also suggest that complete reconstruction can be safely performed in a young infant without any adverse effect on continence.

• Authors: Bhanu Mariyappa, Andrew Barker, Naeem Samnakay, Japinder Khosa
• Journal: Journal of paediatrics and child health (J Paediatr Child Health) Vol. 50 Issue 2 Pg. 96-9 (Feb 2014) ISSN: 1440-1754 [Electronic] Australia
• PMID: 24372828 (Publication Type: Journal Article)
• Copyright: © 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Topics

• Child
• Child, Preschool
• Female
• Follow-Up Studies
• Humans
• Infant
• Infant, Newborn
• Male
• Nephrectomy
• Reoperation
• Retrospective Studies
• Ureter (surgery)
• Ureterocele (complications, surgery)
• Urinary Incontinence (etiology)
• Urinary Tract Infections (etiology)