Ectopic ureterocele in children.
- Author:
Jong Gag PARK
1
;
Chun Il KIM
;
Kwang Sae KIM
Author Information
1. Keimyung University, School of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
ureterocele;
ectopic
- MeSH:
Child*;
Humans;
Replantation;
Ureter;
Ureterocele*
- From:Korean Journal of Urology
1991;32(3):391-398
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ectopic ureteroceles have a broad spectrum of presentation, anatomy and pathophysiology and the management is controversial. Herein, we report our experience of the management in 7 children with 8 ectopic ureteroceles associated with complete duplicated systems. Two functioning upper renal segments were able to be salvaged with ureteropyeIostomy and common sheath ureteral reimplantation. Four small ureteroceles not associated with reflux managed successfully with upper tract correction only(3 heminephrectomy and 1 ureteropyelostomy). Three children with ectopic ureteroceles associated with reflux and/or outlet obstruction underwent successful one stage total reconstruction which included heminephrectomy, ureterectomy, ureterocelectomy and lower pole ureter reimplantation. In summary, the management of ectopic ureterocele must be individualized taking into considerations the salvageability of renal segments, presence of reflux and/or outlet obstruction.
