[Adult-type ureteroceles in children]

Abstract

We report on seven simple, orthotopic, adult-type ureteroceles (UTC) treated in five children (four boys). Urologic work-up was indicated for either prenatal diagnosis of urinary dilatation (three children) or urinary infection (two children). all patients had ureterohydronephrosis with acceptable renal function. There was VUR in one instance. Five ITC in three patients were treated by endoscopic meatotomy or surgical incision with diathermy electrode. In two other instances (two UTC) ureterocelectomy and ureteroneocystostomy were performed. The results were good: all patients treated endoscopically had their excretory system dilatation improved and are asymptomatic. One child has well-tolerated grade III VUR. The two reimplanted children are cured. UTC treatment should be individualized. Meatotomy (or endoscopic incision) can cure UTC and is a good approach in the newborn, when bladder size makes ureteroneocystostomy delicate. When VUR ensues it can be corrected later on in a conventional way.