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Evaluation of Pediatric Patients with a Diagnosis of Ureterocele

Authors :
Özgür Özdemir Şimşek
Sibel Tiryaki
Gökçen Erfidan
Cemaliye Başaran
Seçil Arslansoyu Çamlar
Fatma Mutlubaş
Belde Kasap Demir
Demet Alaygut
Source :
Pediatric Reports, Vol 14, Iss 4, Pp 533-537 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

Aim: The presence and clinical importance of vesicoureteric reflux in patients with a double collecting system are being questioned. Therefore, the role of voiding cystourethrography in the management of patients with ureterocele is unclear. This study aimed to evaluate patients with a ureterocele in terms of urinary tract infection (UTI) and vesicoureteral reflux (VUR). Material Methods: The cases who were admitted to the Pediatric Nephrology Clinic of Health Sciences University Tepecik Training and Research Hospital between 2012 and 2022 and were diagnosed with ureterocele were evaluated retrospectively. Demographic, clinical, and laboratory data were obtained from file records. Results: All patients diagnosed with ureterocele and voiding cystourethrography (VCUG) were evaluated. A total of 24 (female 13 (54.2%)) children were included. The reasons for admission were antenatal hydronephrosis in 13 (54.2%) patients, UTI in 9 (37.5%) patients, and incidentally diagnosed ureterocele in 2 (8.3%) patients. Urinary tract infection was observed in 20 patients at admission, recurrent UTI in 21 patients at follow-up, preoperative pyelonephritis in 12 patients. VUR was found in 11 patients, and severe VUR (≥stage 3) was found in 9 patients. Ten patients had ipsilateral hydronephrosis, and 14 patients had a double collecting system. The presence of VUR was found to be associated with female gender, UTI at admission, and recurrent UTI at follow-up (p < 0.05). However, there was no difference between groups with or without VUR in terms of ipsilateral hydronephrosis, scar formation, and the need for surgery (p > 0.05). Conclusions: We could not demonstrate any criteria to select patients to receive VCUG; on the other hand, VUR did not cause more kidney damage. Our study supports the need for more scientific data to determine management in patients with ureterocele.

Details

Language :
English
ISSN :
20367503
Volume :
14
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Pediatric Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.13e48f8b42754513b073eab7aa8f42aa
Document Type :
article
Full Text :
https://doi.org/10.3390/pediatric14040062