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• W2028664562 abstract "No AccessJournal of UrologyPediatric Urology1 Apr 2009Ureteroureterostomy via Inguinal Incision for Ectopic Ureters and Ureteroceles Without Ipsilateral Lower Pole Reflux Juan Prieto, Ali Ziada, Linda Baker, and Warren Snodgrass Juan PrietoJuan Prieto More articles by this author , Ali ZiadaAli Ziada More articles by this author , Linda BakerLinda Baker More articles by this author , and Warren SnodgrassWarren Snodgrass More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.12.004AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report outcomes from ureteroureterostomy performed through an inguinal herniorrhaphy type incision for definitive management of ectopic ureters or ureteroceles in the absence of ipsilateral lower pole reflux. Materials and Methods: Records were reviewed for 23 consecutive patients who underwent lower ureteroureterostomy for 26 duplicated systems with ectopic ureter or ureterocele and no ipsilateral lower pole reflux. In 21 patients surgery was performed through an inguinal incision similar to that for herniorrhaphy, while a Pfannenstiel incision was used initially in the series in 2 others with bilateral duplex systems. Median patient age at operation was 10 months (range 2 to 56). Results: At a mean followup of 26 months preoperative upper pole hydronephrosis and distal upper ureteral dilatation had resolved or improved in all cases. Preliminary cutaneous ureterostomy was performed on 4 ureters (3 patients), 2 because the recipient lower pole ureter was thought to be too small for incision and anastomosis, 1 because of purulent drainage and 1 following inadvertent transection of the lower pole ureter. Mean surgical time for inguinal ureteroureterostomy was 101 minutes and mean postoperative hospitalization was 0.6 days. Except for dextranomer/hyaluronic acid injection in 1 patient with symptomatic grade I ipsilateral lower pole reflux, no additional surgical procedures were performed after ureteroureterostomy. Conclusions: Lower ureteroureterostomy offers potentially definitive treatment for ectopic ureter or ureterocele without ipsilateral lower pole reflux, and can be performed through an inguinal herniorrhaphy type incision. References 1 : Renal dysplasia: the risks and consequences of leaving dysplastic tissue in situ. Urology1998; 52: 533. Google Scholar 2 : Primary lower urinary tract reconstruction for nonfunctioning renal moieties associated with obstructing ureteroceles. J Urol2005; 173: 198. Link, Google Scholar 3 : Minimally invasive extravesical ureteral reimplantation for vesicoureteral reflux. J Urol2002; 167: 1821. Link, Google Scholar 4 : Ipsilateral ureteroureterostomy in the surgical management of the severely dilated ureter in ureteral duplication. J Urol2007; 178: 1689. Link, Google Scholar 5 : Ipsilateral ureteroureterostomy for the treatment of vesicoureteral reflux or obstruction associated with complete ureteral duplication. J Urol2001; 165: 552. Link, Google Scholar 6 : Ipsilateral ureteroureterostomy for single ureteral reflux or obstruction in a duplicate system. J Urol1998; 159: 1016. Link, Google Scholar 7 : Initial experience with laparoscopic ipsilateral ureteroureterostomy in infants and children for duplication anomalies of the urinary tract. J Urol2007; 177: 2315. Link, Google Scholar 8 : Bifid ureters in children: an anatomical, physiological and clinical study. J Urol1962; 87: 808. Link, Google Scholar 9 : The use of lower ipsilateral ureteroureterostomy to treat vesicoureteral reflux or obstruction in children with duplex ureters. J Urol1983; 129: 543. Google Scholar 10 : Ipsilateral ureteroureterostomy and pyeloureterostomy: a review of 15 years of experience with 25 patients. J Urol1987; 138: 1207. Link, Google Scholar 11 : The management of children with complete ureteric duplication: selective use of uretero-ureterostomy as a primary and salvage procedure. BJU Int2000; 86: 508. Google Scholar 12 : Ureteroureteral anastomosis in the treatment of reflux associated with ureteral duplication. J Urol1997; 157: 1863. Link, Google Scholar Pediatric Urology Section, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas© 2009 by American Urological AssociationFiguresReferencesRelatedDetails Volume 181Issue 4April 2009Page: 1844-1850 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordsureteroceleureteral obstructionurologic surgical proceduresureterostomyreplantationMetricsAuthor Information Juan Prieto More articles by this author Ali Ziada More articles by this author Linda Baker More articles by this author Warren Snodgrass More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2028664562 title "Ureteroureterostomy via Inguinal Incision for Ectopic Ureters and Ureteroceles Without Ipsilateral Lower Pole Reflux" @default.
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