Endoscopic treatment of obstructive ectopic ureterocele complexed with concomitant urolithiasis
https://doi.org/10.21886/2308-6424-2024-12-5-74-84
Abstract
Ectopic ureterocele is a rare anomaly of the upper urinary tract, often accompanied by the growth of secondary stones caused by impaired urinary outflow. The article presents a clinical case, which shows the peculiarities of diagnosis and possibilities of surgery of this condition, including minimally invasive endoscopic interventions. Emphasis is placed on the consideration of different surgical approaches and their effectiveness in improving the quality of life of patients. Comparative analysis of different techniques shows that endoscopic correction, despite some limitations, remains the preferred option due to the low incidence of complications and rapid rehabilitation.
About the Authors
A. G. MartovRussian Federation
Alexey G. Martov — Dr.Sc.(Med), Full Prof., Corresp.Member of the RAS.
Moscow
Competing Interests:
None
S. K. Yarovoy
Russian Federation
Sergey K. Yarovoy — Dr.Sc.(Med), Full Prof.
Moscow
Competing Interests:
None
Z. T. Tokhtiyev
Russian Federation
Zelimkhan T. Tokhtiev.
Moscow
Competing Interests:
None
S. V. Dutov
Russian Federation
Sergey V. Dutov — Сand.Sc.(Med).
Moscow
Competing Interests:
None
A. S. Andronov
Russian Federation
Andrey S. Andronov — Сand.Sc.(Med).
Moscow
Competing Interests:
None
M. M. Adilkhanov
Russian Federation
Magomed M. Adilkhanov.
Moscow
Competing Interests:
None
References
1. Pohl HG. Embryology, Treatment, and Outcomes of Ureteroceles in Children. Urol Clin North Am. 2023;50(3):371-389. DOI: 10.1016/j.ucl.2023.04.007
2. Atta ON, Alhawari HH, Murshidi MM, Tarawneh E, Murshidi MM. An adult ureterocele complicated by a large stone: A case report. Int J Surg Case Rep. 2018;44:166-171. DOI: 10.1016/j.ijscr.2018.02.035
3. Sander JC, Bilgutay AN, Stanasel I, Koh CJ, Janzen N, Gonzales ET, Roth DR, Seth A. Outcomes of endoscopic incision for the treatment of ureterocele in children at a single institution. J Urol. 2015;193(2):662-666. DOI: 10.1016/j.juro.2014.08.095
4. Didier RA, Chow JS, Kwatra NS, Retik AB, Lebowitz RL. The duplicated collecting system of the urinary tract: embryology, imaging appearances and clinical considerations. Pediatr Radiol. 2017;47(11):1526-1538. DOI: 10.1007/s00247-017-3904-z
5. Dominici A, Travaglini F, Maleci M, di Cello V, Rizzo M. Giant stone in a complete duplex ureter with ureterocele. A case report. Urol Int. 2003;71(3):336-337. DOI: 10.1159/000072691
6. Dutov V.V., Dolgov A.G., Romanov D.V. Ureterocele and urolithiasis. RMJ. 2014;22(29):2096-2099. (In Russian). eLIBRARY ID: 22989698; EDN: TJCEHN
7. Bada Bosch I, De Palacio A, Fernández Bautista B, Ordóñez J, Ortiz R, Burgos L, Parente A, Angulo JM. Endourological treatment of ectopic ureterocele. Our experience in the last 15 years. Cir Pediatr. 2023;36(2):78-82. (In English, Spanish). DOI: 10.54847/cp.2023.02.15
8. Paraboschi I, Farneti F, Mantica G, Kalpana P, Tagizadeh A, Anu P, Pankaj M, Garriboli M. Surgical management of complicated duplex kidney: A tertiary referral centre 10-year experience. Afr J Paediatr Surg. 2023;20(1):51-58. DOI: 10.4103/ajps.ajps_139_21
9. Wang J, Zhao Y, Chen Z, Geng H, Fang X. Ureterocele with duplex collecting systems and febrile urinary tract infection risk. Pediatr Surg Int. 2023;39(1):200. DOI: 10.1007/s00383-023-05442-w
10. Park JS, Lee YS, Lee CN, Kim SH, Kim SW, Lee H, Han SW. Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems. World J Urol. 2019;37(10):2237-2244. DOI: 10.1007/s00345-018-2607-x
11. Haddad J, Meenakshi-Sundaram B, Rademaker N, Greger H, Aston C, Palmer BW, Kropp BP, Frimberger D. “Watering Can” Ureterocele Puncture Technique Leads to Decreased Rates of De Novo Vesicoureteral Reflux and Subsequent Surgery With Durable Results. Urology. 2017;108:161-165. DOI: 10.1016/j.urology.2017.06.008
12. Pani E, Negri E, Cini C, Landi L, Mantovani A, Bortot G, Masieri L. Endoscopic treatment of ureterocele in children: Results of a single referral tertiary center over a 10 year-period. J Pediatr Urol. 2022;18(2):182. e1-182.e6. DOI: 10.1016/j.jpurol.2021.12.008
13. Liu W, Du G, Wu X, Wang X, Wu Y, Zhu G, Ma R, Wu R. Peadiatric transvesicoscopic dismembered ureteric reimplantation for ectopic upper ureter in duplication anomalies. J Pediatr Urol. 2021;17(3):412.e1-412.e5. DOI: 10.1016/j.jpurol.2021.01.021
14. Li BS, He Y, Chen Z, Wang ZH, Wen ZQ, Chen X. Transperitoneal Intravesical Technique for Laparoscopic Ureteral Reimplantation to Treat Terminal Ureteral Stenosis. J Laparoendosc AdV Surg Tech A. 2017;27(6):623-628. DOI: 10.1089/lap.2016.0431
15. Batra R, Agrawal A, Singh A, Ganpule A, Sabnis R, Desai M. Laparoscopic ureteric reimplantation versus robotic-assisted laparoscopic ureteric reimplantation for lower ureter pathology: Single-institutional comparative study. Int J Urol. 2022;29(11):1362-1367. DOI: 10.1111/iju.14998
16. Jain V, Agarwala S, Dhua A, Mitra A, Mittal D, Murali D, Kandasamy D, Kumar R, Bhatnagar V. Management and outcomes of ureteroceles in children: An experience of 25 years. Indian J Urol. 2021;37(2):163-168. DOI: 10.4103/iju.IJU_522_20
17. Sheth KR, White JT, Janzen N, Koh CJ, Austin PF, Roth DR, Tu DD, Mittal A, Wang MH, Gonzales ET, Jorgez C, Seth A. Evaluating Outcomes of Differential Surgical Management of Nonfunctioning Upper Pole Renal Moieties in Duplex Collecting Systems. Urology. 2019;123:198-203. DOI: 10.1016/j.urology.2018.06.028
18. Clement K, Hendry J, Keeley FX, Aboumarzouk OM. Heminephrectomy in Adults: A Systematic Review with Cumulative Analysis. Urol Int. 2018;101(1):1-6. DOI: 10.1159/000485466
19. Le HK, Chiang G. Long-term Management of Ureterocele in Duplex Collecting Systems: Reconstruction Implications. Curr Urol Rep. 2018;19(2):14. DOI: 10.1007/s11934-018-0758-3
20. Abdelhalim A, Chamberlin JD, Truong H, McAleer IM, Chuang KW, Wehbi E, Stephany HA, Khoury AE. Ipsilateral ureteroureterostomy for ureteral duplication anomalies: predictors of adverse outcomes. J Pediatr Urol. 2019;15(5):468.e1-468.e6. DOI: 10.1016/j.jpurol.2019.05.016
21. Romao RL, Figueroa V, Salle JL, Koyle MA, Bägli DJ, Lorenzo AJ. Laparoscopic ureteral ligation (clipping): a novel, simple procedure for pediatric urinary incontinence due to ectopic ureters associated with non-functioning upper pole renal moieties. J Pediatr Urol. 2014;10(6):1089-94. DOI: 10.1016/j.jpurol.2014.04.008
22. Lopes RI, Fernandez N, Koyle MA, Dos Santos J, Perez J, Romao R, Lorenzo AJ. Clinical Outcomes of the Upper Urinary Tract after Ureteral Clipping for Treatment of Low Functioning or Nonfunctioning Renal Moieties. J Urol. 2018;199(2):558-564. DOI: 10.1016/j.juro.2017.09.080
Review
For citations:
Martov A.G., Yarovoy S.K., Tokhtiyev Z.T., Dutov S.V., Andronov A.S., Adilkhanov M.M. Endoscopic treatment of obstructive ectopic ureterocele complexed with concomitant urolithiasis. Urology Herald. 2024;12(5):74-84. (In Russ.) https://doi.org/10.21886/2308-6424-2024-12-5-74-84