Evaluation of the Initial Treatment of Ureteroceles

Gander, Romy; Asensio, M; Royo, Gloria; Lloret, Jorge López

doi:10.1016/j.urology.2015.11.025

Cited by 27 publications

(17 citation statements)

References 19 publications

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“…Several techniques for endoscopic ureterocele decompression in children have been previously used, including incision with electrocautery, cold knife incision, puncture with a stylet [3,4,8,10]. Regardless the technique used, the only encountered and described complication, was new-onset Vesicoureteral Reflux (VUR) into the punctured system.…”

Section: Discussionmentioning

confidence: 99%

“…Regardless the technique used, the only encountered and described complication, was new-onset Vesicoureteral Reflux (VUR) into the punctured system. Reported rates of postoperative VUR ranged from 18 to 27% [1][2][3][4]6,8] one have to be very careful using new techniques for endoscopic treatment and have to take into consideration that possible complications may overweight the advantages.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic puncture/incision is currently suggested as the first line treatment for ureteroceles, especially those associated with single system and intravesical ureteroceles. The timing of endoscopic intervention toward earlier periods has been noted [1][2][3][4][5][6][7][8]. Recently transurethral laser incision of ureterocele has been proposed as a safe and efficacious option [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Serious Complication after Laser Treatment of Ureterocele in an Infant

Warchoł¹

2017

Int Arch Urol Complic

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Endoscopic decompression has been recently suggested as the first line treatment of ureterocele in children, including laser transurethral incision. We report a case of a unique but very serious complication after simple ureterocele puncture using a holmium laser in an infant. A 6-week-old male with a history of laser treatment of right simple ureterocele (procedure performed at the other institution 2 days earlier) was admitted because of sepsis. Imaging studies revealed urine leak around the bladder. Destroyed right bladder wall with perforation (locally coagulated and buried tissue) and damaged distal part of the right ureter along the distance of 3-4 cm were found during cystoscopy and laparotomy. Bladder was closed wall after removal of damaged tissues and then end right ureterocutaneostomy was done. The presented case shows that one has to be very careful using new techniques for endoscopic treatment, especially in very young patients and complications may overweight the advantages. KeywordsUreterocele, Laser therapy, Endoscopic incision, Children Case ReportA 6-week-old male after laser incision of a simple right ureterocele performed at the other hospital two days before admission to our institution, was admitted because of general bad condition and signs and symptoms of sepsis. Endoscopic incision was done as an outpatient procedure and a boy was discharged home immediately after cystoscopy.Ultrasound (US) showed mild distention of the right collecting system and upper part of the right ureter CASE REPORT

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Serious Complication after Laser Treatment of Ureterocele in an Infant

Warchoł¹

2017

Int Arch Urol Complic

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Section: Introductionmentioning

confidence: 99%

“…Among several surgical approaches, endoscopic incision (EI) is widely accepted as one of the options for management of UC as a minimally invasive procedure [1][2][3]. Although EI can reliably relieve obstruction in the affected moiety [3], one of the problems of this procedure is inherent or de novo vesicoureteral reflux (VUR) which sometimes requires a secondary procedure to resolve. As a conservative approach for persistent asymptomatic VUR, primary as well as secondary, was reported as a management option [4,5] and because spontaneous resolution of VUR was demonstrated even in de novo VUR after EI in recent reports [1,6,7], we considered that a conservative approach would also be a management option in cases with asymptomatic persistent VUR after decompression of UC by EI [4].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and risk factors for symptomatic urinary tract infection after endoscopic incision for the treatment of ureterocele in children

et al. 2017

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Incomplete sagittal septum of the bladder with cystolithiasis

et al. 2022

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Introduction Incomplete sagittal septum of the urinary bladder is an extremely rare congenital anomaly and one of the variations in bladder duplication. Herein, we report a case of incomplete sagittal septum of the bladder with cystolithiasis. Case presentation A 20‐year‐old man was referred to our department for examination and treatment of symptomatic cystolithiasis and a suspected giant ureterocele on the left side. Cystoscopy and urography performed under general anesthesia revealed anatomical structures suggestive of the sagittal septum of the bladder. Subsequently, transurethral septostomy and cystolithotripsy were performed. The detrusor muscle was microscopically identified, leading to the diagnosis of an incomplete sagittal septum of the bladder. Conclusion Although extremely rare, an incomplete sagittal septum of the bladder may be difficult to differentiate from a ureterocele, and should be considered when a large cystic lesion is found in the bladder.

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Evaluation of the Initial Treatment of Ureteroceles

Cited by 27 publications

References 19 publications

Serious Complication after Laser Treatment of Ureterocele in an Infant

Serious Complication after Laser Treatment of Ureterocele in an Infant

Prevalence of and risk factors for symptomatic urinary tract infection after endoscopic incision for the treatment of ureterocele in children

Incomplete sagittal septum of the bladder with cystolithiasis

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