Associations of ureteroceles location and system anatomy with outcomes of endoscopic treatment: A systematic review and meta-analysis

医学 输尿管囊肿 荟萃分析 外科 回顾性队列研究 复式(建筑) 子群分析 膀胱输尿管反流 异位输尿管 内镜治疗 内窥镜检查 输尿管 回流 内科学 疾病 DNA 生物 遗传学
作者
Irfan Wahyudi,Putu Angga Risky Raharja,Gerhard Reinaldi Situmorang,Arry Rodjani
出处
期刊:Journal of Pediatric Urology [Elsevier BV]
卷期号:19 (5): 626-636
标识
DOI:10.1016/j.jpurol.2023.05.003
摘要

Ureteroceles are a congenital abnormality of the ureter that can cause significant complications. Endoscopic treatment is a commonly used treatment approach. The aim of this review is to assess the results of endoscopic treatment for ureteroceles with consideration to their location and system anatomy.A meta-analysis was conducted by searching electronic databases for studies comparing outcomes of endoscopic treatment for ureteroceles. Newcastle-Ottawa Scale (NOS) was employed to evaluate the potential for bias. The primary outcome was the rate of secondary procedures required following endoscopic treatment. Secondary outcomes were inadequate drainage and post-operative vesicoureteral reflux (VUR) rates. A subgroup analysis was performed to investigate possible causes of heterogeneity in the primary outcome. The statistical analysis was conducted using Review Manager 5.4.There were 28 retrospective observational studies, published between 1993 and 2022, including 1044 patients with primary outcomes in this meta-analysis. The quantitative synthesis showed that ectopic and duplex system ureteroceles were significantly associated with higher rate of secondary operation compared to intravesical and single system ureteroceles, respectively (OR: 5.42, 95% CI: 3.93-7.47; and OR: 5.10, 95% CI: 3.31-7.87). The associations were still significant in subgroup analysis based on follow up duration, average age at surgery, and duplex system only. For secondary outcomes, incidence of inadequate drainage were significantly higher in ectopic (OR: 2,01, 95% CI: 1.18-3.43), but not in duplex system ureteroceles (OR: 1.94, 95% CI: 0,97-3.86). Post-operative VUR rates were higher in both ectopic (OR: 1.79, 95% CI: 1.29-2.47) and duplex system ureteroceles group (OR: 1.88, 95% CI: 1.15-3.08).Ectopic ureteroceles and duplex system ureteroceles were associated with worse outcomes following endoscopic treatment compared to intravesical and single system ureteroceles, respectively. It is recommended to carefully select patients, conduct pre-operative evaluations, and closely monitor patients with ectopic and duplex system ureteroceles.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
西小喵发布了新的文献求助10
刚刚
wwl发布了新的文献求助10
1秒前
Notdodead应助希望采纳,获得10
1秒前
科研通AI5应助xyj6486采纳,获得10
1秒前
2秒前
智慧者完成签到,获得积分10
2秒前
zebra8848发布了新的文献求助10
3秒前
3秒前
3秒前
孙燕应助淳于安筠采纳,获得30
4秒前
5秒前
幸福大白发布了新的文献求助30
5秒前
wsj发布了新的文献求助10
7秒前
ZONG发布了新的文献求助20
7秒前
wuy发布了新的文献求助10
9秒前
10秒前
11秒前
11秒前
Jun关闭了Jun文献求助
11秒前
星星发布了新的文献求助10
12秒前
14秒前
射天狼发布了新的文献求助10
14秒前
14秒前
14秒前
zebra8848完成签到,获得积分10
14秒前
15秒前
深情安青应助wsj采纳,获得10
15秒前
15秒前
sxy发布了新的文献求助10
16秒前
蔡从安发布了新的文献求助10
17秒前
18秒前
柔弱云朵完成签到,获得积分10
19秒前
19秒前
19秒前
xxddw发布了新的文献求助10
19秒前
Owen应助小晓采纳,获得10
20秒前
21秒前
21秒前
21秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989444
求助须知:如何正确求助?哪些是违规求助? 3531531
关于积分的说明 11254250
捐赠科研通 3270191
什么是DOI,文献DOI怎么找? 1804901
邀请新用户注册赠送积分活动 882105
科研通“疑难数据库(出版商)”最低求助积分说明 809174