Blood in the urine hematuria Excessive urination How is a Ureterocele Diagnosed? In some cases, more than one procedure is necessary, while in unusual cases, observation, or no treatment, may be recommended.
Each child is unique and the medical team will work with the family to determine the best option. Transurethral puncture: A form of minimally invasive therapy that punctures and decompresses the ureterocele using a cystoscope that is inserted through the urethra.
Upper pole nephrectomy: If the upper half of the kidney the part associated with the testicular cancer kidney does not function because of the ureterocele and there is no vesicoureteral reflux, removal of the affected portion of the kidney is recommended. This can be done with open surgery, laparoscopic surgery, or robotic surgery. Nephrectomy: If the testicular cancer kidney kidney does not function because of the ureterocele, removal of the kidney is recommended.
This can be done with open surgery, laparoscopic surgery or robotic surgery. Removal of the ureterocele and ureteral reimplantation: If it is deemed necessary to remove the ureterocele, then an operation is performed in which the bladder is opened, the ureterocele is removed, the floor of the bladder and bladder neck are reconstructed and the ureters are reimplanted to create testicular cancer kidney non-refluxing connection between the ureters and the bladder.
Ureteropyelostomy or upper-to-lower ureteroureterostomy: If the upper portion of the ureter shows significant function, one option is to connect the obstructed upper portion to the non-obstructed lower portion of the ureter or pelvis of the kidney. This can be done with open surgery, laparoscopic surgery or robotic surgery.