How I do it open distal ureteroureterostomy for ectopic ureters in infants with duplex systems and no vesicoureteral reflux under 6 months of age

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

ABSTRACT

We describe a step by step technique for open distal ureteroureterostomy (UU) in infants less than 6 months presenting with duplex collecting system and upper pole ectopic ureter in the absence of vesicoureteral reflux (VUR).

Related collections

Most cited references 7

Record: found
Abstract: found
Article: not found

Duplex collecting system diagnosed during the first 6 years of life after a first urinary tract infection: a study of 63 children.

Ekaterini Siomou, Frederica Papadopoulou, Konstantinos Kollios … (2006)

We determined the prevalence, anatomical variants and coexisting complications of duplex collecting systems in children with a history of UTI. Additionally, we compared the prevalence and severity of the coexisting anomalies with those found in single systems. We reviewed the records of children younger than 6 years who were evaluated following a first UTI during a 9-year period to identify those with duplex systems. Children without duplication anomalies comprised the control group. Of 774 evaluated children 63 (8%), more commonly females than males, had duplex systems. CDS were as common as IDS. VUR was the most commonly associated anomaly, with a higher prevalence in CDS (66%) and IDS (47%) compared to single systems (26%, p <0.0001 and p = 0.007, respectively). Ectopic ureterocele, which was the second most common associated anomaly, was found in 20% of the CDS but in none of the IDS or single systems. The occurrence of renal scarring was similar among CDS, IDS (13%) and single systems (10%). Poorly functioning pole moieties occurred more often in CDS (40%) compared to IDS (4%, p = 0.003), and were observed in none of the single systems. The resolution rate of reflux tended to be higher in IDS compared to CDS. CDS were a common finding among children with UTI who had duplication anomalies. Although CDS and IDS were accompanied by VUR more often than were single systems, CDS were associated more often with severe VUR, other serious complications and poor renal function.

0 comments Cited 23 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Ipsilateral ureteroureterostomy in the surgical management of the severely dilated ureter in ureteral duplication.

Job Chacko, Martin A Koyle, Gerald C Mingin … (2007)

Ipsilateral ureteroureterostomy for the surgical management of severely dilated ureter in ureteral duplication is well supported in the surgical literature but often not done. We evaluated our institutional experience with ureteroureterostomy in duplication anomalies to assess the feasibility and success of this procedure. An 8-year retrospective review of the records of all patients with complete renal duplex anomalies was evaluated. Anatomical presentations, and operative and nonoperative treatment of these patients were evaluated. A total of 193 patients were identified with complete renal duplication. Associated anomalies included ureterocele in 24 patients, ectopic ureter in 38 and vesicoureteral reflux in 57. Of 193 patients 160 (83%) with duplex anomalies underwent surgical intervention with a total of 41 ureteroureterostomies performed in 39 patients with dilated donor ureters. A total of 11 ureteroureterostomies were performed primarily and 30 were performed in conjunction with ipsilateral ureteral reimplantation of the distal common segment below the ureteroureterostomy. Ten of the 39 patients had the contralateral side reimplanted for vesicoureteral reflux. In all children with ureteroureterostomy the anastomosis between the 2 ureters remained patent. Two of the 11 children who underwent ureteroureterostomy alone had de novo ipsilateral vesicoureteral reflux (1), which was treated with ureteral reimplantation, and subureteral injection (1). Two children who underwent concomitant ureteroureterostomy and reimplantation without indwelling stents had transient postoperative urinomas that required subsequent drainage. Additionally, 3 patients had persistent ipsilateral vesicoureteral reflux, which was treated with subureteral injection in 1 and observation in 2. One patient presented with transient ipsilateral urinary obstruction, which required percutaneous drainage and resolved spontaneously. In cases of ureteral duplication with a severely dilated ureter requiring surgical intervention ipsilateral ureteroureterostomy is a viable option for reflux and/or obstruction. The procedure is rapid and technically feasible, and it offers excellent cosmesis. In addition, ureteroureterostomy has minimal morbidity and it facilitates early hospital discharge.

0 comments Cited 13 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Ureteroureterostomy irrespective of ureteral size or upper pole function: a single center experience.

D. McLeod, S. A. Alpert, Z Ural … (2014)

Although ureteroureterostomy (UU) is an established procedure for the treatment of duplex anomalies, there may be a reluctance to apply this approach to patients with poor upper pole function and/or marked degrees of ureteral dilation.

0 comments Cited 7 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (nlm-ta): Int Braz J Urol

Journal ID (iso-abbrev): Int Braz J Urol

Journal ID (publisher-id): ibju

Title: International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology

Publisher: Sociedade Brasileira de Urologia

ISSN (Print): 1677-5538

ISSN (Electronic): 1677-6119

Publication date (Electronic, pub): 20 October 2020

Publication date (Electronic, collection): May-Jun 2021

Volume: 47

Issue: 3

Pages: 610-614

Affiliations

[1 ] orgnameMcMaster University orgdiv1Departament of Surgery Hamilton Canada originalDepartament of Surgery, McMaster University, Hamilton, Canada

Author notes

Correspondence address: Luis H. Braga, MD Departament of Surgery, McMaster University HSC 4E19, 1280 Main St. West, Hamilton ON L8S 4K1 Hamilton, Canadá Fax: +1 905-521-9992 E-mail: lhpbraga@ 123456gmail.com

CONFLICT OF INTEREST

None declared.

Author information

Luis H. Braga https://orcid.org/0000-0002-3953-7353

Article

Publisher ID: S1677-5538.IBJU.2020.0742

DOI: 10.1590/S1677-5538.IBJU.2020.0742

PMC ID: 7993958

PubMed ID: 33146975

SO-VID: 7bc0747c-be56-447c-9122-528b8778037e

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Date received : 20 August 2020

Date accepted : 10 September 2020

Page count

Figures: 2, Tables: 0, Equations: 0, References: 7, Pages: 5

Comments

Comment on this article

scite_

Cited by 2

See all cited by

Most referenced authors 81

See all reference authors

- Version 1

How I do it open distal ureteroureterostomy for ectopic ureters in infants with duplex systems and no vesicoureteral reflux under 6 months of age

Read this article at

ABSTRACT

Related collections

SciELO Brazil

Most cited references 7

Duplex collecting system diagnosed during the first 6 years of life after a first urinary tract infection: a study of 63 children.

Ipsilateral ureteroureterostomy in the surgical management of the severely dilated ureter in ureteral duplication.

Ureteroureterostomy irrespective of ureteral size or upper pole function: a single center experience.

Author and article information

Journal

Affiliations

Author notes

Author information

Article

History

Page count

Categories

Comments

Comment on this article

Similar content 4

Cited by 2

Most referenced authors 81