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PAEDIATRIC UROLOGY

5.3.3 Ureterocele

Orthotopic ureterocele is a rare finding in children, exclusively observed in females and mostly associated with a single kidney system. It seldom requires surgical intervention, mostly due to complications (e.g. lithiasis). Diagnostic evaluation follows the scheme 'Unilateral hydronephrosis'. VCUG is mandatory prior to a planned operation. An excretory urogram and cystourethroscopy provide additional information on specific questions. Ectopic ureterocele is dealt with in the section 'Obstructive pathology of renal duplication' (see chapter 9).