Treating ureteroceles

  • Antibiotics should be instituted during the initial diagnostic evaluation and during surgical intervention.
  • Pts with upper pole renal function of <10%, an unobstructed inferior kidney or VUR ≤Grade III, and no bladder neck obstruction could require no surgical therapy.
  • Endoscopic incision or puncture
  • Upper pole heminephrectomy with no lower tract reconstruction:
    - in patients with ureteroceles who have a non-functioning upper segment and low-grade or no VUR
  • Upper pole heminephrectomy with lower tract reconstruction (combined approach):
    - in patients who clearly have no function of the upper pole system but high-grade reflux in the ipsilateral lower pole ureter or contralateral ureter
  • Ureteroureterostomy +/-reimplant combined
Obstructive uropathies | 3. Mastering the treatment of obstructive uropathy
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