Clinical and paraclinical features and the treatment of ureterocele

ABSTRACT

Between April 1992 and March 2001, a total of 52 patients (58 ureteroceles) was diagnosed and treated at National Pediatric Institute. For ureterocele, female to male ratio was 5.21. Complete duplication was found in association with the ureterocele in 50 cases. Urinary tract infection was the most frequent mode of presentation (64%), abdominal mass (12%) and prolapsed ureterocele (13%). The diagnostic procedure included ultrasonographic examination, voiding cystourethrography and excretory urogram. Of 52 patients, 82% and 77% were less than 2 years old at presentation and operation respectively. The elective surgical policy was individualized, based on renal function and presence of vesicoureteral reflux. Overall results within various groups were generally satisfactory regarding the eradication of urinary tract infection, the preservation of renal function in 73% cases after the first procedures