Ectopic Ureterocele in Infancy and Childhood Review of Literature and Report of 4 Cases
Consultant and Chairman of Urology department, Al-Bashir Teaching Hospital-Amman- Jordan
Dr. Yasin Idweini, MD, Ph.D. “Ectopic Ureterocele in infancy and childhood: Review of literature and report of 4 cases”. American Research Journal of Urology; 1(1): 31-40.
Abstract
Congenital ureteral malformations are commonly known, and range from complete absence to duplication of the ureter. Ureterocele is considered as structural anomaly of ureter; which is a cystic dilatation of the terminal ureter. It may be either intravesical or ectopic; in the later case, some portion is located at the bladder neck or in the urethra. Intravesical ureteroceles are, most often, associated with single ureters, whereas ectopic ureteroceles nearly involve the upper pole duplicated ureters. Ectopic ureteroceles are 4 times more common than those intravesical. In general, ureteroceles occur 7 times more in girls than in boys, and about 10% of cases are recorded to be bilateral. Ureteroceles have varied effects in terms of obstruction cases; reflux, continence and renal function; hence, each ureterocele must be managed on individual basis rather than by a simple algorithm. They may cause severe obstruction that requiring urgent attention, or they may be asymptomatic and of no clinical significance. Should they are incorrectly treated, the adverse outcomes thereof may not be appreciated for years to come. Appropriated management is predicated by being aware of the relevant embryology, anatomy and physiology and all related variants.
