Neonatal obstructed ureterocele: Challenges in endoscopic methods of decompression

Ureterocele is well known problem encounters pediatric urologist which can be defined as cystic dilatation of ureter at its distal end. It can be intravesicle or extra vesicle and associated with single system, more commonly, duplex renal system. Diagnosis can be achieved via pre- natal and postnatal Ultrasound scan, VCUG or more advance anatomical studies like MRI, however, the most reliable way in detecting such anomaly is endoscopy.

Minimal invasive endoscopic procedure is the preferred approach for obstructive ureterocele at early period of life. Traditionally, electrosurgery has been utilized while recently more modern technique using holmium: yttrium-aluminum-garnet (Ho:YAG) laser is reported to be accurate, safe and effective approach.

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Published in: Urology Video Journal
License: http://creativecommons.org/licenses/by/4.0/
See article on publisher's website: https://dx.doi.org/10.1016/j.urolvj.2021.100089