Ectopic ureterocele.

Am J Obstet Gynecol

Published: November 2021

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http://dx.doi.org/10.1016/j.ajog.2021.06.041DOI Listing

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Article Synopsis
  • Ectopic ureteroceles are rare in adults but often found in children, typically discovered during pregnancy ultrasounds or through UTI symptoms.
  • A 24-year-old woman faced recurrent UTIs and severe urinary retention due to a large ectopic ureterocele, confirmed through imaging and cystoscopy.
  • The minimally invasive treatment led to her full recovery and emphasizes the need to consider ectopic ureteroceles in adult women with frequent urinary issues.
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  • This study investigates how to differentiate between pseudoureterocele and ureterocele using ultrasound imaging in patients with duplex collecting systems exhibiting intravesical cystic lesions.
  • Nineteen patients were analyzed, and the researchers compared ultrasound findings like the presence of a muscular layer and a "notch sign" in these lesions.
  • Significant differences were found in the characteristics of the lesions, aiding in accurate diagnosis and treatment planning for ectopic ureters and ureteroceles in children.
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  • The study reviews the outcomes of open distal ureteroureterostomy (UU) surgery for children with duplicated collecting systems and no lower pole vesicoureteral reflux (VUR), conducted across multiple centers from 2009 to 2022.
  • A total of 127 patients were analyzed, predominantly females, with most undergoing surgery due to prenatal hydronephrosis and a mean age of 18 months at operation.
  • Post-operative results showed a low complication rate, with the mean operative time being 86 minutes and an average hospital stay of 1.1 days; only a small percentage experienced minor complications.
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Surgical patterns in the endoscopic management of pediatric ureterocele: A systematic review and meta-analysis.

J Pediatr Urol

August 2024

Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address:

Article Synopsis
  • The study aimed to evaluate the effectiveness of endoscopic treatments for ureteroceles, focusing on how the location (intravesical vs. ectopic) and anatomy (single vs. duplicated systems) impact treatment success.
  • Researchers systematically reviewed multiple medical databases, analyzing 83 studies with a total of 3022 patients, to compare surgical outcomes based on these factors.
  • The findings revealed that patients with ectopic ureteroceles and those with duplex systems had significantly higher rates of reoperation after endoscopic procedures, indicating a need for careful consideration in treatment planning.
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