%0 Journal Article
%T Pediatric Ureteroceles: Diagnosis, Management and Treatment Options
%A C¨¹neyt G¨¹n£¿ar
%A Erol Mir
%A Ayd£¿n £¿encan
%A Pelin Ertan
%J Iranian Journal of Pediatrics
%D 2010
%I Tehran University of Medical Sciences
%X Objective:The aim of the study was to evaluate clinical characteristics of ureteroceles particularly for diagnostic and treatment challenges. Methods:Data about patients treated for ureterocele in the two hospital clinics during 1996- 2009 are retrospectively evaluated. Findings:There were 12 girls and 7 boys. Symptomatic urinary tract infection was found in twelve cases. Ureterocele was associated with duplex systems in eleven cases. Vesicoureteral reflux was detected in 4 patients. Bladder diverticulum complicated with ureterocele in 1 patient. Ultrasonography diagnosed ureterocele in 12 patients. Renal scarring was detected in 6 patients at the side of ureterocele. Fifteen patients showed varying degrees of hydro-ureteronephrosis. Surgical therapy included upper pole nephrectomy in 3 cases. Bladder level reconstruction was performed in 11 cases. Five patients were treated only by endoscopic incision. In the follow up period 4 patients showed long term urinary tract infections whereas 3 of them were treated endoscopically. Postoperative reflux was still present in two patients who were treated by endoscopic incision. Conclusion:Ureterocele diagnosis and treatment show challenges. Urinary tract infection is important marker for urinary system evaluation. Preoperative management generally depends on a combination of diagnostic methods. Endoscopic incision needs serious follow up for postoperative problems.
%K Ureterocele
%K Hydronephrosis
%K Vesicoureteral Reflux
%K Voiding Cystourethrography
%K Ultrasound
%U http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17154.pdf&manuscript_id=17154