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Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases
INTRODUCTION: There are no established treatments for asymptomatic ectopic ureteroceles, with completely duplicated ureters, during the neonatal period and infancy. However, conservative treatment is sometimes successful. CASE PRESENTATION: Two patients were prenatally diagnosed, via ultrasonography...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292162/ https://www.ncbi.nlm.nih.gov/pubmed/32743466 http://dx.doi.org/10.1002/iju5.12137 |
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author | Maruo, Kazutaka Nishinaka, Kazuyuki |
author_facet | Maruo, Kazutaka Nishinaka, Kazuyuki |
author_sort | Maruo, Kazutaka |
collection | PubMed |
description | INTRODUCTION: There are no established treatments for asymptomatic ectopic ureteroceles, with completely duplicated ureters, during the neonatal period and infancy. However, conservative treatment is sometimes successful. CASE PRESENTATION: Two patients were prenatally diagnosed, via ultrasonography, with left hydronephrosis. In each case, magnetic resonance imaging confirmed an ectopic ureterocele accompanying the left, completely duplicated ureter. Prophylactic antibiotics were administered and conservative treatment was started. Currently, one patient is 44 months old and the other is 49 months old; in neither patient has the ureterocele or hydronephrosis been exacerbated. CONCLUSION: Patients with (i) a nonfunctional kidney, (ii) mild hydronephrosis or moderate vesicoureteral reflux, (iii) no bladder neck obstruction on urination, and (iv) a Churchill classification ≤Grade II (Churchill classification) may be able to select conservative treatment. |
format | Online Article Text |
id | pubmed-7292162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72921622020-07-30 Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases Maruo, Kazutaka Nishinaka, Kazuyuki IJU Case Rep Case Reports INTRODUCTION: There are no established treatments for asymptomatic ectopic ureteroceles, with completely duplicated ureters, during the neonatal period and infancy. However, conservative treatment is sometimes successful. CASE PRESENTATION: Two patients were prenatally diagnosed, via ultrasonography, with left hydronephrosis. In each case, magnetic resonance imaging confirmed an ectopic ureterocele accompanying the left, completely duplicated ureter. Prophylactic antibiotics were administered and conservative treatment was started. Currently, one patient is 44 months old and the other is 49 months old; in neither patient has the ureterocele or hydronephrosis been exacerbated. CONCLUSION: Patients with (i) a nonfunctional kidney, (ii) mild hydronephrosis or moderate vesicoureteral reflux, (iii) no bladder neck obstruction on urination, and (iv) a Churchill classification ≤Grade II (Churchill classification) may be able to select conservative treatment. John Wiley and Sons Inc. 2019-12-29 /pmc/articles/PMC7292162/ /pubmed/32743466 http://dx.doi.org/10.1002/iju5.12137 Text en © 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Maruo, Kazutaka Nishinaka, Kazuyuki Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases |
title | Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases |
title_full | Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases |
title_fullStr | Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases |
title_full_unstemmed | Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases |
title_short | Conservative treatment of asymptomatic ectopic ureterocele: A report of two cases |
title_sort | conservative treatment of asymptomatic ectopic ureterocele: a report of two cases |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292162/ https://www.ncbi.nlm.nih.gov/pubmed/32743466 http://dx.doi.org/10.1002/iju5.12137 |
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