Embryology, Treatment, and Outcomes of Ureteroceles in Children

Document Type

Journal Article

Publication Date

8-1-2023

Journal

The Urologic clinics of North America

Volume

50

Issue

3

DOI

10.1016/j.ucl.2023.04.007

Keywords

Duplex system; Ectopic; Orthotopic; Single system; Ureterocele

Abstract

A ureterocele is a congenital cystic dilatation of the intravesical ureter that may affect either a single system kidney or the upper pole of a duplex system. The position of ureteral orifice correlates with function of associated renal moiety. Ureteroceles associated with good renal function and prompt drainage or ureteroceles associated with no renal function can be managed nonoperatively. Endoscopic puncture of ureteroceles addresses most cases; iatrogenic reflux may rarely require secondary surgery. Robot-assisted laparoscopic upper pole nephroureterectomy and ureteroureterostomy procedures are rarely associated with complications.

Department

Urology

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