Ipsilateral ureteroureterostomy and pyeloureterostomy: a review of 15 years of experience with 25 patients.
Publication/Presentation Date
11-1-1987
Abstract
We reviewed our 15-year experience with pyeloureterostomy and ureteroureterostomy in 25 children with ureteral duplication. Pyeloureterostomy was performed in 5 patients, including 4 with reflux and 1 with upper pole obstruction. The results were good in 4 and in 1 patient postoperative anastomotic obstruction developed. Ipsilateral ureteroureterostomy was performed in 20 patients, including 8 with reflux into 1 or both ipsilateral ureters, 7 with obstructed ectopic upper pole ureters without ureterocele, 4 with ectopic ureteroceles and 1 with incomplete ureteral duplication and obstruction of the common distal ureteral segment. At followup, which ranged from 3 months to 6 years, 17 patients had good postoperative results as demonstrated by improved upper tract drainage and absence of reflux. Of 6 patients who underwent simultaneous ipsilateral ureteral reimplantation at the time of ureteroureterostomy postoperative reflux was noted in 1, necessitating a second procedure. Ureteral stumps were left in 13 patients. Postoperative urinary infection occurred in only 3 of these patients, all as single episodes and 2 associated with persistent contralateral reflux. Significant luminal disparity at the time of ureteroureterostomy was noted in 18 patients and did not adversely affect results.
Volume
138
Issue
5
First Page
1207
Last Page
1210
ISSN
0022-5347
Published In/Presented At
Huisman, T. K., Kaplan, G. W., Brock, W. A., & Packer, M. G. (1987). Ipsilateral ureteroureterostomy and pyeloureterostomy: a review of 15 years of experience with 25 patients. The Journal of urology, 138(5), 1207–1210. https://doi.org/10.1016/s0022-5347(17)43551-8
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
3669169
Department(s)
Department of Pediatrics
Document Type
Article