[Ureterocele. Tailored treatment. Report of 45 cases].
The advancements in the treatment of ureterocele have prompted early diagnosis of this condition. We report on 45 cases of ureterocele (6 simple and 39 ectopic) that had been treated at our service from 1974 to 1992. The present series comprised 43 patients (32 females, 13 males), with ages ranging from 20 hours to 9 1/2 years; three cases had been diagnosed prenatally. All cases were evaluated by IVP and cystography. There were 16 cases of left ureteropelvic duplicity, 11 right and 10 bilateral. There was one case with right triplication and 6 cases with single system. Fourteen cases had reflux in the lower ipsilateral kidney, 5 in the contralateral kidney and 4 were bilateral. In some cases, patient evaluation included the use of isotopes, US, CT and cystography. Two cases required no surgical procedure; 2 required endoscopic incision; 6 resection and reimplantation; 1 heminephrectomy; 19 resection and heminephrectomy; 1 resection, reimplantation and ureteropyelostomy; 8 resection and nephrectomy; aspiration, nephrectomy and resection of the ureterocele was required in 1 case. Control evaluation at 6 and 18 months following treatment was satisfactory in 88.3%; of these, 41.8% had pyelonephritic scars, 16.2% had residual reflux and 4.6% urinary incontinence. There was only one death.
Rodó Salas
J
J
Servicio de Cirugía, Hospital San Juan de Dios, Barcelona, España.
Martí Camp
M
M
Mallol
J M
JM
Salarich de Arbell
J
J
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D016896:Treatment Outcome; D014518:Ureterocele / Q000601:surgery*
Ureterocele. Tratamiento individualizado. A propósito de 45 casos.