Management and outcomes of ureteroceles in children: An experience of 25 years
| Autor: | Devasenathipathy Kandasamy, Vishesh Jain, Sandeep Agarwala, Divya Murali, Veereshwar Bhatnagar, Anjan Kumar Dhua, Deepak Mittal, Aparajita Mitra, Rajesh Kumar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Additional Surgical Procedure medicine.diagnostic_test Intravesical Ureterocele business.industry Decompression Ectopic Ureterocele Urology medicine.medical_treatment Retrospective cohort study Cystoscopy medicine.disease Ureterocele Nephrectomy Diseases of the genitourinary system. Urology Surgery Medicine Original Article RC870-923 business |
| Zdroj: | Indian Journal of Urology, Vol 37, Iss 2, Pp 163-168 (2021) Indian Journal of Urology : IJU : Journal of the Urological Society of India |
| ISSN: | 1998-3824 0970-1591 |
| Popis: | Introduction: Ureterocele is a rare urogenital malformation. The treatment is variable and complicated as it depends on several factors. The aim of this study was to evaluate the management and outcomes of children with ureterocele and to compare single system and duplex system ureteroceles. Materials and Methods: A retrospective study was conducted and all patients with ureterocele operated from January 1992 to December 2018 were included. The records of those included were assessed, and a detailed case record sheet was filled. The outcome parameters assessed were the persistence of symptoms and additional surgical procedure performed. Results: Forty-seven patients (28 boys and 19 girls) with a median age of presentation of 21 months were included. Four patients had bilateral ureterocele. Overall, 51 renal units with ureterocele were studied. Twenty renal units of the 31 renal units with duplex system underwent cystoscopic decompression, and of these, 8 (40%) needed a second procedure. Fourteen renal units of the remaining 20 renal units with single system underwent cystoscopy and decompression, and of these, 1 (7%) required another procedure (P = 0.024). Sixteen renal units had ectopic ureterocele, of which 9 (56%) underwent heminephrectomy/nephrectomy. Intravesical ureterocele was present in 35 renal units, of which only 2 (5.7%) underwent nephrectomy or heminephrectomy (P < 0.001). Conclusion: Duplex system ureteroceles are more likely to require a second procedure following an endoscopic puncture. Units with ectopic ureterocele were more likely to need nephrectomy. |
| Databáze: | OpenAIRE |
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