Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases.

Autor: Maruo K; Department of Pediatric Urology Hokkaido Medical Center for Child Health and Rehabilitation Sapporo Hokkaido Japan.; Department of Urology Sapporo Medical University Sapporo Hokkaido Japan., Nishinaka K; Department of Pediatric Urology Hokkaido Medical Center for Child Health and Rehabilitation Sapporo Hokkaido Japan.
Jazyk: angličtina
Zdroj: IJU case reports [IJU Case Rep] 2019 Dec 29; Vol. 3 (2), pp. 40-43. Date of Electronic Publication: 2019 Dec 29 (Print Publication: 2020).
DOI: 10.1002/iju5.12137
Abstrakt: Introduction: There are no established treatments for asymptomatic ectopic ureteroceles, with completely duplicated ureters, during the neonatal period and infancy. However, conservative treatment is sometimes successful.
Case Presentation: Two patients were prenatally diagnosed, via ultrasonography, with left hydronephrosis. In each case, magnetic resonance imaging confirmed an ectopic ureterocele accompanying the left, completely duplicated ureter. Prophylactic antibiotics were administered and conservative treatment was started. Currently, one patient is 44 months old and the other is 49 months old; in neither patient has the ureterocele or hydronephrosis been exacerbated.
Conclusion: Patients with (i) a nonfunctional kidney, (ii) mild hydronephrosis or moderate vesicoureteral reflux, (iii) no bladder neck obstruction on urination, and (iv) a Churchill classification ≤Grade II (Churchill classification) may be able to select conservative treatment.
Competing Interests: The authors declare no conflict of interest.
(© 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.)
Databáze: MEDLINE
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