<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2027-0119</journal-id>
<journal-title><![CDATA[Urología Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Urol. Colomb.]]></abbrev-journal-title>
<issn>2027-0119</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2027-01192024000300131</article-id>
<article-id pub-id-type="doi">10.24875/ruc.23000047</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aproximación al manejo del ureterocele y los desenlaces clínicos en la población pediátrica: una revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Approach to the management of ureterocele and clinical outcomes in the pediatric population: a systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Zableh]]></surname>
<given-names><![CDATA[Ana Ma.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garzón-Correa]]></surname>
<given-names><![CDATA[Diana L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiñones-Roa]]></surname>
<given-names><![CDATA[Andrés F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Ana I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[Eliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa-Arenas]]></surname>
<given-names><![CDATA[Víctor H.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho]]></surname>
<given-names><![CDATA[Paul A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga (UNAB) Clínica Foscal Departamento de Urología]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Fundación Universitaria de Ciencias de la Salud (FUCS) Departamento de Urología ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Pamplona Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ Norte de Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UNAB Clínica Foscal Departamento de Urología]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,UNAB Clínica Foscal Departamento de investigaciones]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>33</volume>
<numero>3</numero>
<fpage>131</fpage>
<lpage>141</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2027-01192024000300131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2027-01192024000300131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2027-01192024000300131&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Existe controversia y escasa literatura sobre las pautas de manejo del ureterocele y sus desenlaces, debido a que el abordaje varía desde procedimientos endoscópicos hasta reconstrucción completa. Nuestro objetivo es evaluar la efectividad y seguridad de los diferentes abordajes terapéuticos del ureterocele y sus desenlaces clínicos en la población pediátrica. Revisión sistemática de la literatura, respondiendo a la pregunta: ¿Cuáles son las diferentes opciones de manejo del ureterocele y sus desenlaces clínicos en la población pediátrica? Se encontraron 220 artículos, seleccionamos 48 artículos, para un total de 2.082 pacientes. Evaluamos la calidad metodológica con la herramienta ROBINS-I. Se realizó un metaanálisis de la mejoría del reflujo en el postoperatorio. Los pacientes con reflujo vesicoureteral (RVU) postoperatorio mostraron una mejoría posterior al tratamiento con una odds ratio de 0,24; se evidenció una gran heterogeneidad entre los estudios (I2: 85%; p &lt; 0,001). La asociación entre los tratamientos practicados y la presencia de RVU pre no mostró una diferencia estadísticamente significativa (p = 0,321), en contraste con el RVU post (p = 0,02). En cuanto a la presencia de IVU pre y post, no se encontró diferencia estadísticamente significativa relacionada (p = 0,428 y p = 0,825). Existe una variación significativa en el abordaje, manejo inicial y seguimiento de los pacientes con ureterocele, posiblemente secundario al modo de presentación y curso clínico. Además, la mejoría del RVU posterior al tratamiento quirúrgico del ureterocele es significativo. La importancia de realizar estudios multiinstitucionales, prospectivos, aleatorizados y controlados es clave para evaluar el tratamiento y los resultados a largo plazo de esta patología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT There is controversy and little literature on the management guidelines for ureterocele and its outcomes since the approach varies from endoscopic procedures to complete reconstruction. Our objective is to evaluate the effectiveness and safety of the different therapeutic approaches for ureterocele and their clinical outcomes in the pediatric population. Systematic review of the literature, answering the question: What are the different management options for ureterocele and its clinical outcomes in the pediatric population? Two hundred and twenty articles were found, we selected 48 articles, for a total of 2,082 patients. We evaluated the methodological quality with the ROBINS-I tool. A meta-analysis of postoperative reflux improvement was performed. Patients with postoperative VUR showed improvement after treatment with an odds ratio 0.24; a great heterogeneity was evidenced among the studies (I2: 85%; p &lt; 0.001). The association between the treatments performed and the presence of pre-VUR did not show a statistically significant difference (p = 0.321), in contrast to post-VUR (p = 0.02). Regarding the presence of pre- and post-UTI, no related statistically significant difference was found (p = 0.428 and p = 0.825). There is a significant variation in the approach, initial management, and follow-up of patients with ureterocele, possibly secondary to the mode of presentation and clinical course. In addition, the improvement in VUR after surgical treatment of the ureterocele is significant. The importance of conducting multi-institutional, prospective, randomized, and controlled studies is key to evaluating the treatment and long-term results of this pathology.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ureterocele]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="es"><![CDATA[Urología]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades ureterales]]></kwd>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="es"><![CDATA[Cirugía endoscópica]]></kwd>
<kwd lng="en"><![CDATA[Ureterocele]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="en"><![CDATA[Urology]]></kwd>
<kwd lng="en"><![CDATA[Ureteral diseases]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic surgery]]></kwd>
</kwd-group>
</article-meta>
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