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Management of duplex‐system ureterocele
Author(s) -
Mariyappa Bhanu,
Barker Andrew,
Samnakay Naeem,
Khosa Japinder
Publication year - 2014
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.12474
Subject(s) - ureterocele , medicine , surgery , duplex (building) , medical record , ectopic ureter , ureter , dna , biology , genetics
Aim To analyse different treatment modalities, functional outcome and continence in children treated for duplex‐system ureterocele and to review the relevant literature. Methods The medical records of patients with duplex‐system ureterocele treated between 2001 and 2011 were reviewed retrospectively. Results Twenty‐two cases were identified. Five patients underwent incision of the ureterocele as initial procedure. It was curative in only one patient. Seven patients underwent upper‐pole nephroureterectomy. It was curative in 4 cases. Five patients underwent excision of ureterocele and common‐sheath reimplant, and the remaining 5 patients had upper‐pole nephroureterectomy and simultaneous excision of ureterocele with lower‐moiety ureteric reimplantation. These surgeries were curative in all patients. Follow‐up ranged from 4 to 84 months. Functional outcome was good in all patients. Fourteen patients were continent at follow‐up, and continence was not assessed in the other 8 because of young age. Conclusions Our data suggest a higher rate of secondary procedures if there is retained ureterocele. Data also suggest that complete reconstruction can be safely performed in a young infant without any adverse effect on continence.