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Does endoscopic puncture of ureterocele provide not only an initial solution, but also a definitive treatment in all children? Over the 26 years of experience

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Abstract

Purpose

We have retrospectively evaluated all patients who underwent endoscopic puncture (EP) of ureterocele over the last 26 years with special reference to the need in the second intervention and disease-free status.

Methods

78 (69%) of the 112 patients following EP and completed follow-up were included. 51 (65%) were diagnosed prenatally and 27 (35%) postnatally. 46 patients (60%) had intravesical, while 32 (40%) had ectopic ureterocele. Median age at time of puncture was 4 months. Median time of the follow-up was 12 years (range 1–26 years), while 23 (30%) followed over 10 years and 15 (19%) completed adolescent period.

Results

Four children with ectopic ureterocele required secondary puncture. Ectopic ureterocele children had significantly more postoperative UTIs (13 (40%) ectopic vs 4 (19%) intravesical p = 0.047). 19 RRUs (44%) showed spontaneous resolution of VUR. 14 (18%) children required additional surgery: 7, endoscopic correction of VUR; 3, ureteral reimplantation and 4, partial nephrectomy. The need for additional surgery following puncture was higher in the group of children with ectopic ureterocele; however, this difference did not reach a statistical significance (p = 0.716).

Conclusions

Our data show that EP of ureterocele is a durable and long-term effective procedure in vast majority of the children.

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Funding

This study did not receive any financial funding.

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Authors and Affiliations

  1. The Department of Pediatric Urology, Faculty of Medical Science, Shaare Zedek Medical Centre, Hebrew University, P.o.B 3235, 91031, Jerusalem, Israel

    Jaber Jawdat, Shachar Rotem, Stanislav Kocherov, Amicur Farkas & Boris Chertin

Authors
  1. Jaber Jawdat
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  2. Shachar Rotem
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  3. Stanislav Kocherov
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  4. Amicur Farkas
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  5. Boris Chertin
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Corresponding author

Correspondence to Boris Chertin.

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Conflict of interest

The authors have no conflict of the interest with the discussed in the manuscript material and we do have nothing to disclose concerning this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent regarding the surgical procedure was obtained from the parents of all individual participants included in the study.

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Jawdat, J., Rotem, S., Kocherov, S. et al. Does endoscopic puncture of ureterocele provide not only an initial solution, but also a definitive treatment in all children? Over the 26 years of experience. Pediatr Surg Int 34, 561–565 (2018). https://doi.org/10.1007/s00383-018-4258-9

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  • DOI: https://doi.org/10.1007/s00383-018-4258-9

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