Clinical Observation of the Ureterocele: 29 Cases.
- Author:
Jung Sik HUH
1
;
Sei Kyung RHO
;
Byung Dae PARK
;
Hyung Lae LEE
;
Sun Ju LEE
;
Jin Il KIM
Author Information
1. Department of Urology, Kyung Hee University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Ureterocele;
Single system;
Duplex system;
Transurethral incision;
Heminephrectomy
- MeSH:
Aged;
Dilatation;
Female;
Flank Pain;
Humans;
Immunoglobulin A;
Male;
Ureter;
Ureterocele*;
Urinary Tract
- From:Korean Journal of Urology
1995;36(8):881-885
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ureterocele, congenital dilatation of the terminal or intramural portion of the ureter, may be classified as either simple or ectopic and has a broad spectrum of presentation, anatomy and treatment must be individualized. From February, 1986 to March, 1994, our experiences with 8 single system ureteroceles and 12 duplex system ureteroceles were reviewed. Their presentation, radiographic findings, operative management and postoperative results were discussed. The patients in this series were distribution from 1 year old to 66 years old and the male and female ratio was 4:16. The most presenting symptom was flank pain, affecting 7 cases, and ureterocele was associated with ureteral stone: 7 cases, VUR: 2 cases, renal cyst: 1 case, and IgA nephropathy:1 case. In 8 cases of single system ureterocele, Transurethral incision(TUI) of ureterocele in 1 case, ureterocelectomy with ureteroneocystostomy in 3 cases were done. In 12 cases of duplex system ureterocele, TUI of ureterocele in 2 cases, heminephrectomy with partial ureterocelectomy in 2 cases were done. After operation was done, there was no evidence of complication. We conclude that the surgical approach to the problems associated with a ureterocele is modified by patient age, renal anomaly and the pathological condition of the lower urinary tract.
