Combined percutaneous-transurethral incision for treatment of ureterocele in adults

Spatafora, S.; Buli, P.; Leoni, S.

doi:10.1016/j.urology.2006.09.010

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Two patients with associated calculi were free of stones after the procedure. The mean follow-up period was 14.2 months (range, [8][9][10][11][12][13][14][15][16]. No patient had ultrasonography and/or IVU evidence of residual ureterocele and/or hydronephrosis.…”

Section: Resultsmentioning

confidence: 99%

“…8 Hence, we postulated that puncture may be inadequate in adult patients because of ureterocele size and thickness, as well as the possibility that the site may re-seal and require repeated punctures. 9 The advent of the Greenlight laser system revolutionized the field of endourology over the past 10 years. This system has been widely used in photoselective vaporization of the prostate because of its safety and efficacy with long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Spatafora et al 9 noted that performing an accurate incision using standard endoscopic techniques is difficult because the ureterocele wall easily collapses. Therefore, they developed combined percutaneous transurethral incision for the management of ureteroceles in adults.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy and Safety of Transurethral Photoselective Greenlight^™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Liu

Chen

Xie

et al. 2015

Photomedicine and Laser Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efficacy and Safety of Transurethral Photoselective Greenlight^™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Liu

Chen

Xie

et al. 2015

Photomedicine and Laser Surgery

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show abstract

“…The treatment was successful in all of the patients, with 2 cases of vesicoureteral reflux that did not require additional treatment. 15 The initial endoscopic treatment of orthotopic ureteroceles was more successful than the treatment of ectopic ureteroceles, as it produced a better decompression of the ureter. 16 In our study, we treated 9 patients who presented with an orthotopic ureterocele and lithiasis.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment of ureterovesical junction obstructive pathology: A description of the oblique meatotomy technique and results

Arrabal‐Martín¹,

Zuluaga-Gomez²,

Merino‐Salas³

et al. 2013

CUAJ

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original research E728Cite as: Can Urol Assoc J 2013;7(11-12):e728-31. http://dx.doi.org/10.5489/cuaj.496 Published online November 8, 2013. AbstractBackground: Benign obstructive pathology of the ureterovesical junction includes congenital and acquired illnesses. The objective of this study was to describe the endoscopic oblique meatotomy technique using scissors and cold cutting to treat benign obstructive pathology of the ureterovesical junction. Methods: From 2007 to 2012, we treated 18 patients with obstructive pathology of the ureterovesical junction (5 megaureters [3 with lithiasis], 4 iatrogenic stenoses, and 9 ureteroceles with lithiasis). In all cases, oblique meatotomy was performed using endoscopic scissors through an 8.5 Ch ureteroscope. The mean follow-up for all patients was 3 years. Pain, grade of hydronephrosis, and occurrence of vesicoureteral reflux were evaluated before and after treatment. Results: The mean endoscopic treatment time was 13.4 minutes. The procedure was performed on an outpatient basis with 6 hours of hospital admission, and a double J stent was inserted for 6 weeks. We achieved treatment success in 94.5% of patients after 3 years of follow-up. Only 1 patient presented with vesicoureteral reflux at 12 months after treatment; however, this condition did not require further treatment. Overall, 100% of patients remained free from lithiasis. There are 2 main limitations: the small number of patients and the lack of another group to compare the results of this technique; however, the aim of this work was to communicate a new technique to treat ureterovesical junction stricture Interpretation: Oblique ureteral meatotomy is a safe and effective treatment for benign obstructive pathology of the ureterovesical junction and has a low index of complications.

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“…This technique thus offers an additional approach to ureterocele treatment that augments the armamentum of the surgeon in adding to other incisional and percutaneous approaches characterized in the literature. 2,3 …”

Section: Interventionmentioning

confidence: 99%

Diagnosis and Management of a Prolapsing Intravesical Ureterocele in a Man

Derisavifard

Motamedinia

Okeke

et al. 2015

Journal of Endourology Case Reports

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Given the low incidence and delayed diagnosis, ureterocele management in the adult population is poorly described in the literature. Moreover, there is only one case report characterizing the condition with prolapse in an adult male. Approaches to therapy include transurethral incision or puncture with or without a combined percutaneous approach, and excision with or without partial nephrectomy for a duplicated system with a nonfunctioning upper pole moiety. We present a case of prolapsed, single intravesical ureterocele in a man presenting with hematuria and lower urinary-tract symptoms. A 54-year-old man with no significant medical history presents with increasing nocturia and urinary hesitancy. The development of gross hematuria prompted urologic evaluation. On imaging, the patient was found to have 4.3 × 3.3 cm bladder mass consistent with a prolapsed ureterocele that was managed by transurethral excision with a cutting loop. Postoperatively, the patient's symptoms resolved completely without complication. We suggest that complete transurethral ureterocele excision is an effective, definitive treatment option.

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Combined percutaneous-transurethral incision for treatment of ureterocele in adults

Cited by 4 publications

References 6 publications

Efficacy and Safety of Transurethral Photoselective Greenlight^™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Efficacy and Safety of Transurethral Photoselective Greenlight^™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Endoscopic treatment of ureterovesical junction obstructive pathology: A description of the oblique meatotomy technique and results

Diagnosis and Management of a Prolapsing Intravesical Ureterocele in a Man

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Combined percutaneous-transurethral incision for treatment of ureterocele in adults

Cited by 4 publications

References 6 publications

Efficacy and Safety of Transurethral Photoselective Greenlight™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Efficacy and Safety of Transurethral Photoselective Greenlight™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Endoscopic treatment of ureterovesical junction obstructive pathology: A description of the oblique meatotomy technique and results

Diagnosis and Management of a Prolapsing Intravesical Ureterocele in a Man

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Product

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Efficacy and Safety of Transurethral Photoselective Greenlight^™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults

Efficacy and Safety of Transurethral Photoselective Greenlight^™ Laser Vaporization for the Treatment of Orthotopic Ureteroceles in Adults