Korean J Urol.
1991 Aug;32(4):567-572.
Ureteroceles in infants and children
- Affiliations
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- 1Department of Urology, Seoul National University, College of Medicine, Seoul, Korea.
Abstract
- We reviewed 27 infants and children with ureteroceles. There were four single system ureteroceles and 23 duplex system ureteroceles. Their various presentations, radiologic findings, operative managements and postoperative results were discussed. Diagnosis was readily made by excretory urography and voiding cystourethrography except two cases. In three cases of four single system ureteroceles, excision of ureteroceles and ureteral reimplantation were performed. Upper pole heminephrectomy was performed in 12 patients and total nephrectomy in two patients and half of these 14 patients required secondary operation on the bladder level. Upper pole heminephrectomy and ureteroneocystostomy of lower ploe ureter were performed in two cases. Transurethral incision of the ureterocele was the inital procedure in two cases to relieve the pyonephrosis and severe abdominal distention in infants and they all required the removal of the involved renal segment. Upper pole saving procedures were done in five patients. On long-term follow-up of 27 patients, 25 patients have been doing well. We think the management options of the ureterocele are to be decided individually based on the pathologic conditions and the renal function of the involved part.
