|
|
|
요도 게실의 경요도절제술후의 이차 수술에 관한 연구 |
| 울산대학교 의과대학 비뇨의학과교실 |
| 한재현, 이종필, 이장희, 박민욱, 송상훈, 김건석 |
Aim: Ureterocele which is a cystic dilation of the intravesical ureter, usually compromised from the upper moiety of a complete duplication of kidney. For the past several years, ureterocele management has been developed. We retrospectively evaluated the long-term outcome of primary transurethral incision of ureterocele.
Methods: We reviewed the medical records of patients who underwent primary endoscopic ureterocele puncture in our institution from 2007 to 2018 retrospectively. Of these, children who underwent ureterocele puncture at age ≤15 years and who were observed conservatively without additional surgical management after ureterocele puncture were included in the present study. Ureterocele position was divided as intravesical or ectopic.
Results: A total of 90 patients with 110 ureteroceles were included. Of these, 65% patients had antenatal ureterocele. Total 43 ureteroceles were associated with duplex system ureterocele, but the others had single duplex system. The median follow-up was 52 months. 60 patients underwent transurethral incision. Among them, 15 (25%) patients with duplex system had secondary intervention. The need for additional surgery following puncture was higher in the group of children with ectopic ureterocele (P = 0.002)
Conclusions: Ureterocele in ectopic ureterocele regardless duplex system had a high secondary intervention afterwards.
|
|
keywords : Ureterocele, kidney, ureter |
|
