Minimally-invasive treatment of complicated ureteroceles in adults avoiding vesico-ureteric reflux

Seibold, J.; Alloussi, S.; Schilling, David; Collesell, Daniela; Stenzl, Arnulf; Schwentner, Christian

doi:10.5173/ceju.2010.02.art3

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Ureterocele is a well-known pathologic entity in the pediatric urology population; however, it remains a diagnostic and treatment challenge in the adult population. [15,16] Its prevalence is estimated to be between 1/500 and 1/4000 patients, with a wide variety of clinical presentations.…”

Section: Discussionmentioning

confidence: 99%

Our experience with management of congenital urological pathologies in adulthood: What pediatric urologists should know and adult urologists adopt in pediatric practice experience

Chertin,

Neeman,

Jaber

et al. 2023

Curr Urol

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Purpose To summarize our experience in the management of congenital anomalies in the kidney and urinary tract (CAKUT) in adults. Materials and methods We conducted a retrospective chart review of all adult patients who underwent primary surgical intervention for CAKUT between 1998 and 2021. Results The study included 102 patients with a median age of 25 (interquartile range, 23–36.5). Of these, 85 (83.3%) patients reported normal prenatal ultrasound, and the remaining 17 (16.7%) patients were diagnosed with antenatal hydronephrosis. These patients were followed up conservatively postnatally and were discharged from follow-up because of the absence of indications for surgical intervention or because they decided to leave medical care. All studied adult patients presented with the following pathologies: 67 ureteropelvic junction obstructions, 14 ectopic ureters, 9 ureteroceles, and 6 primary obstructive megaureters, and the remaining 6 patients were diagnosed with vesicoureteral reflux. Forty-three percent of the patients had poorly functioning moieties associated with ectopic ureters or ureteroceles. Notably, 67% of patients underwent pyeloplasty, 9% underwent endoscopic puncture of ureterocele, 3% underwent ureteral reimplantation, 6% underwent endoscopic correction of reflux, 7% underwent partial nephrectomy of non-functioning moiety, and the remaining 9% underwent robotic-assisted laparoscopic ureteroureterostomy. The median follow-up period after surgery was 33 months (interquartile range, 12–54). Post-operative complications occurred in 5 patients (Clavien-Dindo 1–2). Conclusions Patients with CAKUT present clinical symptoms later in life. Parents of patients diagnosed during fetal screening and treated conservatively should be aware of this possibility, and children should be appropriately counseled when they enter adolescence. Similar surgical skills and operative techniques used in the pediatric population may be applied to adults.

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Section: Discussionmentioning

confidence: 99%

Our experience with management of congenital urological pathologies in adulthood: What pediatric urologists should know and adult urologists adopt in pediatric practice experience

Chertin,

Neeman,

Jaber

et al. 2023

Curr Urol

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“…Üreteroselli hastalar genellikle flank ağrı, dizüri, pollaküri, urgency ve yüksek ateş şikayetleri ile hekime başvururlar. Radyolojik inceleme için yapılan intravenöz pyelografide (IVP) izlenen distal üreterdeki kobra başı görüntüsü tipiktir (4). Endoskopik girişimler üreterosel için ilk basamak yaklaşımdır.…”

Section: Introductionunclassified

“…Taşlı üreterosellere yaklaşım ise taş yüküne bağlı olarak soğuk bıçak veya elektrokoter ile endoskopik insizyon ve taş çıkarılması, holmium lazer litotripsi veya üreterolitotomi gibi cerrahın tecrübelerine yönelik tercih ettiği operasyonları içerir (1). Literatürde taşlı komplike üreterosellere yaklaşım konusunda az sayıda yayın bulunmaktadır (1,3,4). Biz de bu olguda komplike üreterosele holmium lazer ile yaklaşımımızı literatür eşliğinde sunmayı planladık.…”

Section: Introductionunclassified

Laser Ablation in the Management of Obstructive Uropathy in Neonates

Pagano

Batavia

Casale

2015

Journal of Endourology

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Technique Using a Percutaneous Nephroscope and Nephroscopic Scissors Transurethrally for Treatment of Complicated Orthotopic Ureterocele in Adult Women

İsen

2012

Urology

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Minimally-invasive treatment of complicated ureteroceles in adults avoiding vesico-ureteric reflux

Abstract: Intravenous pyelography examples of adult ureteroceles: a. classical appearance of an intravesical ureterocele (patient 1); b. bilateral halo-sign (patient 2); c. excretory urography of patient 3; d. excretory urography of patient 3.

Cited by 3 publications

References 12 publications

Our experience with management of congenital urological pathologies in adulthood: What pediatric urologists should know and adult urologists adopt in pediatric practice experience

Our experience with management of congenital urological pathologies in adulthood: What pediatric urologists should know and adult urologists adopt in pediatric practice experience

Laser Ablation in the Management of Obstructive Uropathy in Neonates

Technique Using a Percutaneous Nephroscope and Nephroscopic Scissors Transurethrally for Treatment of Complicated Orthotopic Ureterocele in Adult Women

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