Transurethral Incision for Ureterocele in Children
Author Information
Author(s): Ichiro Takeuchi, Katsuya Nonomura, Koichi Kanagawa, Tetsufumi Yamashita, Hidehiro Kakizaki, Toshiaki Gotoh, Tomohiko Koyanagi
Primary Institution: Hokkaido University School of Medicine
Hypothesis
Transurethral incision is a useful primary treatment for ureteroceles in children.
Conclusion
Transurethral incision effectively improves kidney function and controls urinary tract infections in children with ureteroceles.
Supporting Evidence
- Urinary tract infections were the most common symptom, observed in 8 patients.
- De novo reflux occurred in 12 units, but 5 resolved spontaneously.
- Split renal function improved in 5 systems (35.7%) after treatment.
- Normal kidney growth was achieved in 11 systems (78.6%).
- 68.4% of affected units were preserved with transurethral incision.
Takeaway
Doctors can fix a problem in kids' bladders called ureterocele by making a small cut, which helps their kidneys work better and keeps them from getting sick.
Methodology
Seventeen patients with ureterocele were treated with transurethral incision, and their outcomes were evaluated through various imaging techniques and follow-ups.
Limitations
The study had a small sample size and was limited to a specific treatment method.
Participant Demographics
11 girls and 6 boys, ages ranged from 5 days to 11 years, with a median age of 5 months.
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