A Step-by-Step Guide to Double-Puncture Technique for Endoscopic Management of Ureterocele
5 January 2019
To date, the optimal surgical technique for treatment of ureterocele remains unclear and the available options are variable. The endoscopic techniques that are gaining popularity mostly share major drawbacks including low success rate, high probability of mandatory secondary surgery and de novo vesicoureteral reflux to the ureterocele moiety. The Double-Puncture technique is shown to have promising outcomes in terms of long-term success and low rate of complications. In this video, a step-by-step guide to this technique is presented.
- Endoscopic management
Gander R, Asensio M, Royo GF, Lloret J. Evaluation of the Initial Treatment of Ureteroceles. Urology 2016;89:113-7.
Haddad J, Meenakshi-Sundaram B, Rademaker N, Greger H, Aston C, Palmer BW, et al. "Watering Can" Ureterocele Puncture Technique Leads to Decreased Rates of De Novo Vesicoureteral Reflux and Subsequent Surgery With Durable Results. Urology 2017;108:161-5.
Nabavizadeh B, Nabavizadeh R, Kajbafzadeh AM. A novel approach for an old debate in management of ureterocele: long-term outcomes of double-puncture technique. J Pediatr Urol 2019.
Kajbafzadeh A, Salmasi AH, Payabvash S, Arshadi H, Akbari HR, Moosavi S. Evolution of endoscopic management of ectopic ureterocele: a new approach. J Urol 2007;177:1118-23; discussion 23.
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