Panach-Navarrete J, Martínez-Montava E, Gil-Viana R, Valls-González L, Martínez-Jabaloyas JM. Early Ultrasound after Endoscopic Puncture of Ureterocele: Signs that Show Surgical Treatment Success.
ARCH ESP UROL 2022;
75:567-571. [PMID:
36138507 DOI:
10.37554/es-j.arch.esp.urol-20210119-3532-31]
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Abstract
INTRODUCTION
We show the ability of early ultrasound after surgery to show the success of endoscopic puncture of the ureterocele.
METHOD
Description of the clinical cases, therapeutic management and description of the ultrasound findings.
RESULTS
We present two infants aged 1 and 4 months who underwent endoscopic puncture of ectopic ureteroceles during a period of 3 months at our institution. The first case was operated urgently for urinary sepsis, while the second was punctured to preserve renal function. In both cases, ultrasound was performed two hours after surgery, and the ultrasound findings were recorded. In both patients, the ureterocele was considered resolved one year after the puncture.
CONCLUSIONS
Findings such as puncture notch, flap-like collapse of the walls, decrease in ureterohydronephrosis, or disappearance of debris in the upper tract, are ultrasound signs that are visualized in the immediate postoperative period of endoscopic puncture of the ureterocele. Thus, early ultrasound is useful for early monitoring of endoscopic treatment of ureterocele.
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