[Experience with transurethral incision of ureteroceles. Endoscopic intervention revisited].

Toshiaki Gotoh and Tomohiko Koyanagi Department of Urology, Hokkaido University School of Medicine (Director: Prof. T. Koyanagi) Tadashi Matsuno Hokkaido Memorial Hospital of Urology (Director: Dr. T. Matsuno) The usefulness of transurethral resection or incision (TUR) of ureteroceles exprienced in these 16 years was evaluated. In 12 cases (15 ureters) of simple ureteroceles without collapse and eversion, TUR (distal incision) was performed for better drainage of the ureter. Though mild VUR appeared in 3 ureters, one disappeared spontaneously. In all cases clinical symptoms such as pain and urinary infection disappeared. Stone extraction was also successful in 3 patients. In 8 cases (8 ureters) of ectopic ureteroceles, TUR was performed for various reasons such as bladder outlet obstruction (5 ureters), drainage (2) and prolapse (1). In the former, bladder outlet obstruction was resolved in all without postoperative problems such as urinary incontinence. In particular, cecoureterocele was thought the best indication. In the latter two, TUR was also useful in 2 of 3, including one case which was thought cured only by TUR. TUR was also useful for the assessment of renal function. Thus TUR of ureterocles was thought one of the quite useful treatments both in simple and ectopic ones when the indication was strictly selected.

[1]  E. Tank,et al.  Experience with endoscopic incision and open unroofing of ureteroceles. , 1986, The Journal of urology.

[2]  M. Coquet,et al.  Endoscopic treatment of ureteroceles revisited. , 1985, The Journal of urology.

[3]  R. Gerridzen,et al.  Transurethral puncture in management of ectopic ureteroceles. , 1984, Urology.

[4]  C. Firlit,et al.  Bilateral cecoureteroceles causing urinary retention in the newborn. , 1983, The Journal of urology.

[5]  F. Gómez,et al.  Cecoureterocele: morphology and clinical correlations. , 1983, The Journal of urology.

[6]  L. M. Cobb,et al.  Surgical management of infantile (ectopic) ureteroceles: report of a modified approach. , 1982, Journal of pediatric surgery.

[7]  R. Landes,et al.  Endoscopic ureteroneocystostomy for orthotopic ureteroceles. , 1982, Journal of Urology.

[8]  J. Valayer,et al.  Simplified treatment of ectopic ureterocele in 35 children. , 1981, European urology.

[9]  T. Koyanagi,et al.  Everting ureteroceles: radiographic and endoscopic observation, and surgical management. , 1980, The Journal of urology.

[10]  K. Ashcraft,et al.  Bladder outlet obstruction after operation for ureterocele. , 1979, Journal of Pediatric Surgery.

[11]  M. Mitchell,et al.  Surgical correction of ureteroceles. , 1979, The Journal of urology.

[12]  H. Snyder,et al.  Orthotopic ureteroceles in children. , 1978, The Journal of urology.

[13]  N. Zinner,et al.  Cystometrics during endoscopy of a ureterocele: determination of potential for reflux. , 1977, The Journal of urology.

[14]  J. Keeton,et al.  Unusual presentation of cecoureterocele. , 1975, Urology.

[15]  E. Tanagho Anatomy and management of ureteroceles. , 1972, The Journal of urology.

[16]  J. O'flynn,et al.  Transurethral treatment of ureteroceles. A report on 45 cases mostly treated by transurethral resection. , 1972, British journal of urology.

[17]  D. Stephens Caecoureterocele and concepts on the embryology and aetiology of ureteroceles. , 1971, The Australian and New Zealand journal of surgery.

[18]  D. Stephens A form of stress incontinence in children: another method of bladder neck repair. , 1970, The Australian and New Zealand journal of surgery.

[19]  G. J. Thompson,et al.  URETEROCELE: CLINICAL APPRAISAL OF 176 CASES. , 1964, The Journal of urology.

[20]  J. Zieliński Avoidance of Vesicoureteral Reflux after Transurethral Ureteral Meatotomy for Ureterocele , 1962 .