The Modern Endoscopic Approach to Ureterocele

Hagg, Michael J.; Mourachov, Pavel V.; Snyder, Howard M.; Canning, Douglas A.; Kennedy, William A.; Zderic, Steven A.; Duckett, John W.

doi:10.1016/s0022-5347(05)67857-3

Cited by 87 publications

(19 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

See 1 more Smart Citation

Serious Complication after Laser Treatment of Ureterocele in an Infant

Warchoł¹

2017

Int Arch Urol Complic

View full text Add to dashboard Cite

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

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Serious Complication after Laser Treatment of Ureterocele in an Infant

Warchoł¹

2017

Int Arch Urol Complic

View full text Add to dashboard Cite

show abstract

“…Husmann et al [5] demonstrated that high-grade reflux or greater than 2 renal units-associated reflux necessitated a repeat open procedure in 96% of cases. Although new onset reflux is likely to be persistent, it is most often low grade and asymptomatic so that patients can be followed nonoperatively in the cases of small incision [6,7,8]. Castagnetti et al [9] reported a 32% occurrence rate, but reflux in ureterocele moiety was the indication for operation only in 5% of cases.…”

Section: Discussionmentioning

confidence: 99%

Case of Large Cecoureterocele with Contralateral Renal Rupture in Neonate

Obara

Anraku²,

Ikeda³

et al. 2016

Urol Int

View full text Add to dashboard Cite

A cecoureterocele is a rare form of ectopic ureterocele that the orifice of the affected ureter is within the bladder, but the cavity of the ureterocele extends beyond the bladder neck into the urethra. We present a case of a newborn boy with a large cecoureterocele with contralateral renal rupture. He required an emergency transurethral incision of the ureterocele for the treatment of acute renal failure and respiratory disorder.

show abstract

“…Yüzde 75 olguda alt pole reflü olduğu için nonfonksisyonel üst pol eksizyonunun yeterli olmayacağı kanısı yaygındır (13) . Dolayısı ile alt üriner sistemde ektopik yerleşimli üreterosel eksizyonu, mesane tabanı rekonstrüksiyo-nu ve reimplantasyon ile onarım sıklıkla tercih edilen uygulamalardır (15) . Heminefrektomi gibi üst üriner sistem girişimlerinden sonra preoperatif mevcut olan vezikoüreteral reflüye bağlı alt sistemde reoperasyon gerekmektedir (9) .…”

Section: Discussionunclassified