The goals of surgical intervention include relief of obstruction, infection, and reflux. The standard options include endoscopic incision of the ureterocele, as well as various open or laparoscopic procedures, such as heminephrectomy, ureteropyelostomy, ureteroureterostomy, and ureteral implantation.

It is impossible to offer a simple algorithm for the management of ureteroceles. In each case, the plan must take into account numerous variables, including patient age, the size and position of the ureterocele, history of urinary tract infections, the presence or absence of reflux, the presence of a single or duplicated collecting system, and the degree of function in the associated renal parenchyma.