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Endoscopic meatotomy in the treatment of ureterocele: results in adult patients

To evaluate the efficacy of endoscopic meatotomy in the treatment of ureterocele in adults. A retrospective study of adult patients with ureterocele, treated between January 1987 and December 2014. In 47 patients, 55 intravesical ureteroceles were diagnosed and classified as 18 right, 21 left and ei...

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Autores principales: Oueslati, Amine, Saadi, Ahmed, Chakroun, Marouene, Zaghbib, Selim, Bouzouita, Abderrazak, Derouiche, Amine, Slama, Mohamed Riadh Ben, Ayed, Haroun, Chebil, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519792/
https://www.ncbi.nlm.nih.gov/pubmed/33014239
http://dx.doi.org/10.11604/pamj.2020.36.243.24941
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author Oueslati, Amine
Saadi, Ahmed
Chakroun, Marouene
Zaghbib, Selim
Bouzouita, Abderrazak
Derouiche, Amine
Slama, Mohamed Riadh Ben
Ayed, Haroun
Chebil, Mohamed
author_facet Oueslati, Amine
Saadi, Ahmed
Chakroun, Marouene
Zaghbib, Selim
Bouzouita, Abderrazak
Derouiche, Amine
Slama, Mohamed Riadh Ben
Ayed, Haroun
Chebil, Mohamed
author_sort Oueslati, Amine
collection PubMed
description To evaluate the efficacy of endoscopic meatotomy in the treatment of ureterocele in adults. A retrospective study of adult patients with ureterocele, treated between January 1987 and December 2014. In 47 patients, 55 intravesical ureteroceles were diagnosed and classified as 18 right, 21 left and eight bilateral (38%, 44% and 17% respectively). According to the Bruézière classification, 41 (75%) ureteroceles were type A and 14 (25%) others were type C. These ureteroceles were complicated by calculus formation in 22 cases, moderately dilated excretory pathways in 16 cases and both complications in a total of 9 cases. Four patients had a complicated ureterocele with pyelonephritis, one of which was emphysematous. The endoscopic treatment was performed in cases of complicated and/or symptomatic ureteroceles. Fifty one cases were treated by a “smiling mouth” meatotomy consisting in a transverse horizontal incision, with the treatment of any associated complication. The mean operative time was 35 minutes (10-90). The operative follow-up was uneventful in 42 patients and complications occurred in 5 patients (2 urinary retentions, 2 infectious complications and one hematuria). The mean duration of postoperative stay was 1-2 days. The mean follow-up was 15 months. Four patients developed vesicoureteral reflux and no stenosis was noted. The endoscopic incision of the ureteroceles seems today, after reviewing the results, to be a good treatment of adult ureterocele. It is a simple, minimally invasive and has a low morbidity rate.
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spelling pubmed-75197922020-10-02 Endoscopic meatotomy in the treatment of ureterocele: results in adult patients Oueslati, Amine Saadi, Ahmed Chakroun, Marouene Zaghbib, Selim Bouzouita, Abderrazak Derouiche, Amine Slama, Mohamed Riadh Ben Ayed, Haroun Chebil, Mohamed Pan Afr Med J Case Series To evaluate the efficacy of endoscopic meatotomy in the treatment of ureterocele in adults. A retrospective study of adult patients with ureterocele, treated between January 1987 and December 2014. In 47 patients, 55 intravesical ureteroceles were diagnosed and classified as 18 right, 21 left and eight bilateral (38%, 44% and 17% respectively). According to the Bruézière classification, 41 (75%) ureteroceles were type A and 14 (25%) others were type C. These ureteroceles were complicated by calculus formation in 22 cases, moderately dilated excretory pathways in 16 cases and both complications in a total of 9 cases. Four patients had a complicated ureterocele with pyelonephritis, one of which was emphysematous. The endoscopic treatment was performed in cases of complicated and/or symptomatic ureteroceles. Fifty one cases were treated by a “smiling mouth” meatotomy consisting in a transverse horizontal incision, with the treatment of any associated complication. The mean operative time was 35 minutes (10-90). The operative follow-up was uneventful in 42 patients and complications occurred in 5 patients (2 urinary retentions, 2 infectious complications and one hematuria). The mean duration of postoperative stay was 1-2 days. The mean follow-up was 15 months. Four patients developed vesicoureteral reflux and no stenosis was noted. The endoscopic incision of the ureteroceles seems today, after reviewing the results, to be a good treatment of adult ureterocele. It is a simple, minimally invasive and has a low morbidity rate. The African Field Epidemiology Network 2020-08-04 /pmc/articles/PMC7519792/ /pubmed/33014239 http://dx.doi.org/10.11604/pamj.2020.36.243.24941 Text en Copyright: Amine Oueslati et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Oueslati, Amine
Saadi, Ahmed
Chakroun, Marouene
Zaghbib, Selim
Bouzouita, Abderrazak
Derouiche, Amine
Slama, Mohamed Riadh Ben
Ayed, Haroun
Chebil, Mohamed
Endoscopic meatotomy in the treatment of ureterocele: results in adult patients
title Endoscopic meatotomy in the treatment of ureterocele: results in adult patients
title_full Endoscopic meatotomy in the treatment of ureterocele: results in adult patients
title_fullStr Endoscopic meatotomy in the treatment of ureterocele: results in adult patients
title_full_unstemmed Endoscopic meatotomy in the treatment of ureterocele: results in adult patients
title_short Endoscopic meatotomy in the treatment of ureterocele: results in adult patients
title_sort endoscopic meatotomy in the treatment of ureterocele: results in adult patients
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519792/
https://www.ncbi.nlm.nih.gov/pubmed/33014239
http://dx.doi.org/10.11604/pamj.2020.36.243.24941
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