Abstract:
PURPOSE:We have retrospectively evaluated all patients who underwent endoscopic puncture (EP) of ureterocele over the last 26 years with special reference to the need in the second intervention and disease-free status. METHODS:78 (69%) of the 112 patients following EP and completed follow-up were included. 51 (65%) were diagnosed prenatally and 27 (35%) postnatally. 46 patients (60%) had intravesical, while 32 (40%) had ectopic ureterocele. Median age at time of puncture was 4 months. Median time of the follow-up was 12 years (range 1-26 years), while 23 (30%) followed over 10 years and 15 (19%) completed adolescent period. RESULTS:Four children with ectopic ureterocele required secondary puncture. Ectopic ureterocele children had significantly more postoperative UTIs (13 (40%) ectopic vs 4 (19%) intravesical p = 0.047). 19 RRUs (44%) showed spontaneous resolution of VUR. 14 (18%) children required additional surgery: 7, endoscopic correction of VUR; 3, ureteral reimplantation and 4, partial nephrectomy. The need for additional surgery following puncture was higher in the group of children with ectopic ureterocele; however, this difference did not reach a statistical significance (p = 0.716). CONCLUSIONS:Our data show that EP of ureterocele is a durable and long-term effective procedure in vast majority of the children.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Jawdat J,Rotem S,Kocherov S,Farkas A,Chertin Bdoi
10.1007/s00383-018-4258-9subject
Has Abstractpub_date
2018-05-01 00:00:00pages
561-565issue
5eissn
0179-0358issn
1437-9813pii
10.1007/s00383-018-4258-9journal_volume
34pub_type
杂志文章abstract::The embryogenesis of a previously unreported mesothelial pouch containing a Meckel's diverticulum is presented. ...
journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/BF01076960
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pub_type: 杂志文章,评审
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journal_title:Pediatric surgery international
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pub_type: 已发布勘误
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journal_title:Pediatric surgery international
pub_type: 杂志文章,评审
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journal_title:Pediatric surgery international
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journal_title:Pediatric surgery international
pub_type: 杂志文章
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pub_type: 杂志文章,meta分析
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journal_title:Pediatric surgery international
pub_type: 杂志文章
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journal_title:Pediatric surgery international
pub_type: 杂志文章,评审
doi:10.1007/s003830050478
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journal_title:Pediatric surgery international
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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abstract::Recent evidence suggests that neutrophil recruitment may initiate germ cell apoptosis in the ischemic testis. The purpose of the present study was to examine the relationship between germ cell apoptosis and neutrophil recruitment in the contralateral testis following testicular ischemia-reperfusion (IR) injury in a ra...
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journal_title:Pediatric surgery international
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doi:10.1007/s00383-007-1961-3
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pub_type: 杂志文章
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