ABSTRACT
Treatment of ureteroceles in children varies according to the anatomicopathological form and the-choice of the surgical team. This study tries to determine the exact value of the endoscopic management of ureteroceles in children. In our study we treated 11 ureteroceles in 10 children by endoscopic incision, 7 of them were intravesical ureteroceles [4 single system and 3 duplex system] and 4 were duplex system ectopic ureteroceles. The procedure consists of a tiny transversal incision at the lower and median aspects of the ureteroceles. In our study the dilation of the upper tract disappeared or decreased in all cases of intravesical ureteroceles and in half the cases of ectopic ureteroceles. The incision of the ureterocele led to a vesicoureteral reflux in the associated ureter in 6 cases 54.5% [43% of the intravesical ureteroceles, 75% of the ectopic ureteroceles]. Following endoscopic treatment, no further surgery was required in 5 of the 7 cases with intravesical ureteroceles [71.5%], while every case of ectopc ureterocele needed a further operation [lower tract surgery in 3 cases and upper tract surgery in 1 case]. Endoscopic incision of ureteroceles is a simple and quick procedure which allows obstruction to be removed and the dilation of the upper tract and its corresponding kidney function to be improved, particularly in the neonate. The endoscopic management of ureteroceles may in itself suffice, without necessity of further surgery. These favorable results can more readily be seen in cases of intravesical ureterocele than in those of ectopic ureterocele