ENDOSCOPIC THERAPY FOR AN ECTOPIC URETERO CELE

For a long time the standard treatment of an ectopic ureterocele, comb ined with a double collection system, was an upper-pole resection with or without ureter resection. Between 1980 and 1992, 27 children were treated initially with an endoscopic incision of the ureterocele. Twen ty four of these children were followed up. In 11 of 24 cases the endo scopic incision was sufficient and in 5 of 24 other children a reflux operation had to be performed afterwards, so that in 66% of the childr en the upper-pole resection was not necessary. We presume that the end oscopic incision of an ectopic ureterocele must be the first step in o perative planning.