Abstract：Objective:To summarize the experience and evaluate the safety and efficacy of transurethral electroscission fenestration for ureteroceles. Methods:28 patients with ureteroceles were treated by transurethral electroscission fenestration between Jun 2002 and Nov 2011. 14 patients were male and others were female. The mean age was 40.3 years old (13-72 years). Bilateral ureteroceles occurred in 3 patients and unilateral ureteroceles occurred in 25 patients (11 cases were left and 14 cases were right). The diameters of cysts ranged from 1.5-2.7 cm, and the mean diameter was 1.9 cm. All patients underwent transurethral electroscission fenestration, and 7 patients underwent lithotripsy simultaneously. Results:The procedure was completed successfully in all cases.Mean operative time was 35 min (14-20 min) and mean blood loss was 6 ml (1-20 ml).Urethral catheter was placed for 18 days and the mean time was 2.9 days. The mean postoperative hospital stay was 3.4 days (1-10 days). Patients were followed up for 4-117 months (mean, 48.5 months) and no ureterocele recurrence happened. One patient felt backache and a stone was found in his left ureter, which was cured later. Conclusions:Transurethral electroscission fenestration for ureteroceles is minimally invasive, safe and effective, which is a good treatment method for ureteroceles and can be mastered easily by surgeons.
邱敏, 刘沛, 马潞林, 卢剑, 王国良, 李刚. 输尿管囊肿的诊治(附28例报道)[J]. 微创泌尿外科杂志, 2013, 2(4): 256-258.
Qiu Min, Liu Pei, Ma Lulin, Lu Jian, Wang Guoliang, Li Gang. Diagnosis and therapy of ureteroceles (Report of 28 cases). JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(4): 256-258.
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