title: Minimally invasive techniques for management of the ureterocele and ectopic ureter: upper tract versus lower tract approach.
abstract: The optimal management approach for children with ureterocele and complete pyeloureteral duplication, especially in the setting of high-grade ipsilateral vesicoureteral reflux, remains unclear. Trends in surgical management reflect a shift from single-stage open reconstruction toward conservative management and minimally invasive approaches. This article reviews lower tract approaches (endoscopic ureterocele incision and ipsilateral ureteroureterostomy), and upper tract approaches (ureterocele moiety heminephrectomy) in terms of selected operative techniques, patient selection, published outcomes, postoperative care, and follow-up. Current data support endoscopic puncture as a safe and effective treatment of symptomatic children with single-system intravesical ureteroceles.
authors.affiliation: University of Virginia Children's Hospital, University of Virginia, 118 Roy's Place, Charlottesville, VA 22902, USA. Electronic address: mdt4r@virginia.edu.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Timberlake
authors.affiliation: University of Virginia Children's Hospital, University of Virginia, 118 Roy's Place, Charlottesville, VA 22902, USA.
authors.forename: Sean T
authors.initials: ST
authors.lastname: Corbett
mesh_terms: D002675:Child, Preschool; D002828:Choristoma / Q000601:surgery*; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009392:Nephrectomy / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology; D018570:Risk Assessment; D016896:Treatment Outcome; D014513:Ureter; D014518:Ureterocele / Q000175:diagnosis / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods*
keywords: Ectopic ureter; Heminephrectomy; Ipsilateral ureteroureterostomy; Minimally invasive; Pyeloureteral duplication; Ureterocele; Ureterocele incision