Transurethral Incision At The Basement For The Treatment Of Ureterocele In Children

Objective:To evaluate the therapeutic effectiveniss of incision at the basement of the ureterocele through cystoscope in children.Methods:Under the cytoscope transurethral incision at the basement of the ureterocele was performed in 18 children with 25 ureteroceles.The length of incision was about 0.3～0.5 centimeters,which was made on the cyst base.All the patients were followed up for 3 months to 5 years.All the cases were examined by Ultrasonography and urine routine,15 of which were examined by voiding cystourethrography.Results:Ureteroceles in 17 children disappeared after procedure.One require a second procedure because of recurrence.Urinary tract infections developed in only 2 of these 18 cases.Hydronephrosis completely or partly disappeared except one without change.Two cases were found to have vesicoureteraI reflux after operation.Conclusions:Transurethral incision at the basement through cystoscope is a simple, effective and minimal invasive procedure for children with ureterocele,especially suitable for the cases with intravesical ureteroceles.