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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...

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Autores principales: Maruo, Kazutaka, Nishinaka, Kazuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
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.
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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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