Endoscopic Puncture of Ureterocele as a Minimally Invasive and Effective Long&amp;ndash;Term Procedure in Children

Chertin, Boris; Hadas-Halpren, Irit; Farkas, Amicur

doi:10.1159/000052463

Cited by 38 publications

(22 citation statements)

References 17 publications

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“…[9][10][11] Each patient requires individualized treatment; nevertheless, upper pole removal is the preferred definitive procedure when there is clearly no function in the upper moiety. It may be accompanied by reimplantation of the refluxing lower pole ureter combined with ureterocele excision.…”

Section: Discussionmentioning

confidence: 99%

“…It may be accompanied by reimplantation of the refluxing lower pole ureter combined with ureterocele excision. 11,12 In patients with a good upper pole function, the endoscopic puncture of ure- prolapsed cecoureterocele terocele may be an attractive procedure despite the risk of creating reflux in the involved ureter. 9 It has been reported that less than 20% of cases ultimately require secondary procedures for persistent VUR after primary treatment.…”

Section: Discussionmentioning

confidence: 99%

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Prolapsed cecoureterocele presented as prenatal genital mass: a urological challenge

Méndez-Gallart

Estevez-Martinez

Rodríguez-Barca

et al. 2013

CUAJ

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prolapsed cecoureterocele presented as prenatal genital mass: a urological challenge

Méndez-Gallart

Estevez-Martinez

Rodríguez-Barca

et al. 2013

CUAJ

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show abstract

“…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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Urinary Tract Obstruction and Dilatation

Goyal

2018

Rickham's Neonatal Surgery

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Endoscopic Puncture of Ureterocele as a Minimally Invasive and Effective Long–Term Procedure in Children

Cited by 38 publications

References 17 publications

Prolapsed cecoureterocele presented as prenatal genital mass: a urological challenge

Prolapsed cecoureterocele presented as prenatal genital mass: a urological challenge

Serious Complication after Laser Treatment of Ureterocele in an Infant

Urinary Tract Obstruction and Dilatation

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