[Our experience with aspiration of ectopic ureteroceles].
Since 1986 we have performed suction of the ectopic ureteroceles in seven cases. In four of these cases the obstruction caused by the ureteroceles affected the upper hemi-kidney. In the remaining three cases both hemi-kidneys of the same side were affected. One child suffered failure of both hemi-kidneys. All the ureteroceles corresponded to the upper hemi-kidney and were associated with ipsilateral duplicity. In four of the cases the treatment applied was the heminephrectomy of the upper hemi-kidney and the suction of the ureterocele. In one case, we did a nephrectomy and suction of the ureterocele. In the remaining two cases the suction of the ureterocele was done, as well as the ureteropyelostomy, since it was necessary to use the upper hemi-kidney in the renal TC99m dimercaptosuccinic acid scan-DMSA. In five of the children there was a collapse of the ureterocele giving good results in both kidneys. In two of the children there was no collapse, which provoked the need for removal of the ureterocele. In one of these two cases, the renal dilatation persisted later. In the last case it was necessary to perform nephrectomy due to the absence of recuperation of the renal function. Three of the children had associated reflux which disappeared in one of them, after the suction of the ureterocele. Vesical surgery might be avoided by means of the ureterocele's suction technique in 60 per 100 of the cases. However, it is essential to pursue the child's progress once every six months, in order to detect possible failures of ureterocele collapse.
Servicio de Cirugía Infantil, Hospital Materno-Infantil, La Coruña.
E
E
País Piñeiro
D
D
Vela Nieto
J
J
Candal Alonso
M
M
Díaz Blanco
G
G
Pérez Lafuente
J
J
Ríos Tallon
D000367:Age Factors; D002648:Child; D006801:Humans; D009392:Nephrectomy; D011859:Radiography; D013396:Suction; D014463:Ultrasonography; D014518:Ureterocele / Q000000981:diagnostic imaging / Q000601:surgery*
Nuestra experiencia con la aspiracion de los ureteroceles ectopicos.