{"id":380,"date":"2015-11-04T00:00:00","date_gmt":"2015-11-03T23:00:00","guid":{"rendered":"http:\/\/semmelweis.hu\/symposium\/endoscopic-management-of-ureterocele-associated-with-stone-in-a-child\/"},"modified":"2015-11-06T13:32:05","modified_gmt":"2015-11-06T12:32:05","slug":"endoscopic-management-of-ureterocele-associated-with-stone-in-a-child","status":"publish","type":"page","link":"https:\/\/semmelweis.hu\/symposium\/szimpozium-archiv\/symposium2009-semmelweis\/temak\/endoscopic-management-of-ureterocele-associated-with-stone-in-a-child\/","title":{"rendered":"Endoscopic Management of Ureterocele Associated with Stone in a Child"},"content":{"rendered":"\n<p>Melinda SAJTHY1, B\u00e1lint SULYA1, P\u00e9ter NYIR\u00c1DY2,<br \/> Andr\u00e1s KISS1, Mikl\u00f3s MERKSZ1<\/p>\n<p><em>1Department of Urology, Heim P\u00e1l Children&#8217;s Hospital, Budapest, Hungary<br \/> 2Department of Urology, Semmelweis University, Budapest, Hungary<\/em><\/p>\n<p><em>Introduction<\/em>: Ureterocele diagnosed in childhood is generally<br \/> associated with duplex system. In these cases the ureterocele is<br \/> sitting on the orifice of the ectopic ureter causing dilatation in<br \/> the corresponding moiety, but sometimes even contralaterally as<br \/> well. If surgical management is needed, the primary intervention<br \/> depends on the concrete case and on the preferred therapeutic<br \/> approach of the surgeon (e.g. upper pole heminephrectomy or<br \/> transurethral incision of the ureterocele, TUI). Single system<br \/> ureteroceles are rare in children, approx. 10 % of the cases.<br \/> Furthermore, in pediatric population stones are found very seldom<br \/> found in duplex or in single system ureteroceles. We<br \/> describe the successful management of a child with a stone in a<br \/> ureterocele.<\/p>\n<p><em>Patients and methods:<\/em> A 6-year old girl was examined at the<br \/> local health centre for abdominal pain and vomiting. Abdominal<br \/> ultrasound revealed 10&#215;10 mm ureterocele on the left side associated<br \/> with a single system and containing a stone 9&#215;6 mm in<br \/> size. No ureteral dilatation was seen, both kidneys appeared normal.<br \/> The child was referred to our hospital. At cystoscopy the<br \/> wall of the ureterocele seemed edematous. After TUI the coarse,<br \/> tawny, fragile stone was removed. The stone was composed by<br \/> calciumoxalate-dihydrate. The post-operative period was<br \/> uneventful, no recurrent stone, VUR or dilatation was found at<br \/> follow-up.<\/p>\n<p><em>Discussion: <\/em>Endoscopic incision of a ureterocele is generally<br \/> accepted in the treatment of ureteroceles associated with duplex<br \/> systems in children. It has been recommended by many experts<br \/> as an initial and in the majority of the patients, as a definitive<br \/> procedure. However, in the literature no publication is seen<br \/> about TUI done for the removal of a stone developed in a ureterocele<br \/> in a child. In our patient with this minimally invasive<br \/> method &#8211; which could be done even on outpatient basis &#8211; total<br \/> recovery was achieved.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Melinda SAJTHY1, B\u00e1lint SULYA1, P\u00e9ter NYIR\u00c1DY2, Andr\u00e1s KISS1, Mikl\u00f3s MERKSZ1 1Department of Urology, Heim P\u00e1l Children&#8217;s Hospital, Budapest, Hungary 2Department of Urology, Semmelweis University, Budapest, Hungary Introduction: Ureterocele diagnosed in childhood is generally associated with duplex system. In these cases the ureterocele is sitting on the orifice of the ectopic ureter causing dilatation in the &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":323,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-380","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/comments?post=380"}],"version-history":[{"count":1,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/380\/revisions"}],"predecessor-version":[{"id":400,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/380\/revisions\/400"}],"up":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/323"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/media?parent=380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/categories?post=380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/tags?post=380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}