[Treatment of pyeloureteral duplication associated with ureterocele or ectopic ureter].

Abstract:

INTRODUCTION:Pyeloureteral duplication is often associated to ureterocele and ectopic ureter. Therapeutic approach of ureterocele is actually a debated subject because of the differences treatments. There is controversy about the classic heminefrectomy with ureterocele aspiration and the minimal invasive endoscopic approach. MATERIAL AND METHODS:We made a retrospective study about 34 children with pyeloureteral duplication associated with ureterocele (26) or with ectopic ureter (8). The election of treatment was mainly based on renal function, showed on gammagraphy. It was performed heminephrectomy and ureterocele aspiration in patients with hypofunctioning upperpole, and surgery saving the kidney when the renal function was normal. RESULTS:Heminephrectomy was curative in 66.5% of children with ureterocele. In the others was required a correction of the vesicoureteral reflux associated with the lower pole or removal of the ureterocele with ureteral reimplantation due to failure in ureterocele collapse. 88.5% of ureterocele was collapsed. None of the heminefrectomies performed on patients with ectopic ureter needed further surgery. Pathology studies showed a high incidence of renal dysplasia (63%). CONCLUSION:We consider the heminephrectomy the treatment of choice in pyeloureteral duplication associated with ureterocele and ectopic ureter when gammagraphy studies show hypofunctioning upperpole.

journal_name

Actas Urol Esp

authors

Somoza Argibay I,Méndez Gallart R,Gómez Tellado M,Pais Piñeiro E,Liras Muñoz J,Vázquez Martull E,Vela Nieto D

doi

10.1016/s0210-4806(01)72709-x

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

731-6

issue

10

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(01)72709-X

journal_volume

25

pub_type

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