Voiding cystourethrography in patients undergoing endoscopic decompression of duplex system ureteroceles: to do or not to do?
Topic overview
This retrospective study of 75 patients evaluates whether preoperative VCUG is necessary before endoscopic decompression of duplex system ureteroceles. Patients with preoperative VUR had significantly higher secondary surgery rates (82%) versus those without VUR (32%) or no VCUG (25%), suggesting VCUG may be reserved for symptomatic cases post-procedure.
Key takeaways
- Preoperative VUR significantly increases secondary surgery rate after endoscopic decompression (82% vs 32% without VUR, p=0.0001).
- Routine preoperative VCUG may not be necessary; patients without VCUG had similar outcomes to those without VUR (25% vs 32% SS rate).
- Preemptive endoscopic VUR treatment during decompression reduces secondary surgery rate from 96% to 44% (p=0.003).
- Post-decompression VUR often remains asymptomatic; reserve VCUG for patients developing UTI symptoms during follow-up.
- If preoperative VCUG shows VUR, consider concurrent endoscopic treatment to minimize need for subsequent procedures.
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How to cite: GlobalCastMD. Voiding cystourethrography in patients undergoing endoscopic decompression of duplex system ureteroceles: to do or not to do?. GlobalCastMD Medical Library. 2024-04-10. https://dev.library.globalcastmd.com/article/8501?via_space=staycurrentmd
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