HOW PRENATAL ULTRASOUND CAN CHANGE THE TREATMENT OF ECTOPIC URETEROCELE IN NEONATES

The authors present a series of 25 neonates with duplex ureterocele di agnosed in utero. Initial treatment was endoscopic incision (EI) of th e ureterocele in 18 cases (72%). Ureterocele was bilateral in one Ease . Fl achieved satisfac tory decompression of ureterocele in 100% (1 bi lateral). Reflux in the upper pole (UP) was created in 44.4%, and UP w as preserved in 44.4%, Reconstruction of the lower urinary tract was a ccomplished in 15 (83.3%) patients who Rad had endoscopic treatment, N o incontinence was observed. EI of the ectopic ureterocele should be c onsidered as a first choice approach in neonates, Prompt intervention allows succesful decompression of ureterocele and can sometimes improv e the function of the renal moiety involved.