Abstract
A total of 215 ureteroceles were present in 41 children with single-system and 154 children with double-system ureteroceles. Males were predominant in the single-system group while the reverse was true in patients with double-system ureteroceles. Single-system ureteroceles occurred more commonly on the left side. In double-system ureteroceles there was minimal renal function in 74% of the ureterocele-bearing moieties, 26% of the ipsilateral lower moieties, and 3% of the contralateral kidneys. Vesicoureteric reflux (VUR) was present in 17% of the ureterocele-bearing ureters, 54% of the ipsilateral second ureters, and 28% of the contralateral ureters. In the single-system ureteroceles, 20% of the ipsilateral kidneys had minimal renal function and 9% of both the ipsilateral and contralateral ureters had VUR. Differences in laterality, VUR, and function of the subservient renal tissue suggest that single-system ureteroceles are a different disease entity from the double-system type and should be considered separately in any discussion of the management of ureteroceles.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Assadi F, Caldamone A, Cornfield D, Duckett J, Norman (1984) Ureteroceles in children: clinical study and report of 58 cases. Clin Nephrol 21: 275–279
Brock WA, Kaplan GW (1978) Ectopic ureteroceles in children. J Urol 119: 800–803
Caldamone AA, Snyder HMcC III, Ducket JW (1984) Ureteroceles in children: follow-up of management with upper tract approach. J Urol 131: 1130–1132
Hendren WH, Mitchell ME (1979) Surgical correction of ureteroceles. J Urol 121: 590–597
Johnston JH (1982) Upper urinary tract obstructions. In: Williams DI, Johnston JH (eds) Paediatric Urology, 2nd ed. Butterworth, London, pp 189–213
Mackie GG, Stephens FD (1975) Duplex kidneys: a correlation of renal dysplasia with position of the ureteric orifice. J Urol 114: 274–280
Monfort G, Morisson-Lacombe G, Coquet M (1985) Endoscopic treatment of ureteroceles revisited. J Urol 133: 1031–1033
Sen S, Ahmed S (1987) Management of double system ureterocele. Aust NZJ Surg 57: 655–660
Snyder HM, Johnston JH (1978) Orthotopic ureteroceles in children. J Urol 119: 543–546
Stephens FD (1983) Ureteroceles on duplex ureters. In: Stephens FD (ed) Congenital malformations of the urinary tract Praeger, New York, pp 320–349
Tank ES (1986) Experience with endoscopic incision and open unroofing of ureteroceles. J Urol 136: 241–242
Williams DI (1982) Ureteric duplications and ectopia. In: Williams DI, Johnston JH (eds) Paediatric Urology, 2nd edn. Butterworth, London, pp 167–187
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sen, S., Beasley, S.W., Ahmed, S. et al. Renal function and vesicoureteric reflux in children with ureteroceles. Pediatr Surg Int 7, 192–194 (1992). https://doi.org/10.1007/BF00175837
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00175837