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• W69049346 abstract "No AccessJournal of Urology1 Nov 1987Ipsilateral Ureteroureterostomy and Pyeloureterostomy: A Review of 15 Years of Experience With 25 Patients Thomas K. Huisman, George W. Kaplan, William A. Brock, and Michael G. Packer Thomas K. HuismanThomas K. Huisman More articles by this author , George W. KaplanGeorge W. Kaplan More articles by this author , William A. BrockWilliam A. Brock More articles by this author , and Michael G. PackerMichael G. Packer More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43551-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail 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. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byLee Y, Hah Y, Kim M, Jung H, Lee M, Im Y and Han S (2012) Factors Associated with Complications of the Ureteral Stump After Proximal UreteroureterostomyJournal of Urology, VOL. 188, NO. 5, (1890-1894), Online publication date: 1-Nov-2012.Prieto J, Ziada A, Baker L and Snodgrass W (2009) Ureteroureterostomy via Inguinal Incision for Ectopic Ureters and Ureteroceles Without Ipsilateral Lower Pole RefluxJournal of Urology, VOL. 181, NO. 4, (1844-1850), Online publication date: 1-Apr-2009.Chacko J, Koyle M, Mingin G and Furness P (2007) Ipsilateral Ureteroureterostomy in the Surgical Management of the Severely Dilated Ureter in Ureteral DuplicationJournal of Urology, VOL. 178, NO. 4S, (1689-1692), Online publication date: 1-Oct-2007.MERGUERIAN P, BYUN E and CHANG B (2018) Lower Urinary Tract Reconstruction for Duplicated Renal Units With Ureterocele. Is Excision of the Ureterocele With Reconstruction of the Bladder Base Necessary?Journal of Urology, VOL. 170, NO. 4 Part 2, (1510-1513), Online publication date: 1-Oct-2003.LASHLEY D, McALEER I and KAPLAN G (2018) IPSILATERAL URETEROURETEROSTOMY FOR THE TREATMENT OF VESICOURETERAL REFLUX OR OBSTRUCTION ASSOCIATED WITH COMPLETE URETERAL DUPLICATIONJournal of Urology, VOL. 165, NO. 2, (552-554), Online publication date: 1-Feb-2001.CAIN M, POPE J, CASALE A, ADAMS M, KEATING M and RINK R (2018) NATURAL HISTORY OF REFLUXING DISTAL URETERAL STUMPS AFTER NEPHRECTOMY AND PARTIAL URETERECTOMY FOR VESICOURETERAL REFLUXJournal of Urology, VOL. 160, NO. 3 Part 2, (1026-1027), Online publication date: 1-Sep-1998.BIERI M, SMITH C, SMITH A and BORDEN T (2018) IPSILATERAL URETEROURETEROSTOMY FOR SINGLE URETERAL REFLUX OR OBSTRUCTION IN A DUPLICATE SYSTEMJournal of Urology, VOL. 159, NO. 3, (1016-1018), Online publication date: 1-Mar-1998.Plaire J, Pope J, Kropp B, Adams M, Keating M, Rink R and Casale A (2018) Management of Ectopic Ureters: Experience With the Upper Tract ApproachJournal of Urology, VOL. 158, NO. 3, (1245-1247), Online publication date: 1-Sep-1997.Jelloul L and Valayer J (2018) Ureteroureteral Anastomosis in the Treatment of Reflux Associated With Ureteral DuplicationJournal of Urology, VOL. 157, NO. 5, (1863-1865), Online publication date: 1-May-1997.Shelfo S, Keller M and Weiss R (2018) Ipsilateral Pyeloureterostomy for Managing Lower Pole Reflux with Associated Ureteropelvic Junction Obstruction in Duplex SystemsJournal of Urology, VOL. 157, NO. 4, (1420-1422), Online publication date: 1-Apr-1997.Vates T, Bukowski T, Triest J, Freedman A, Smith C, Perlmutter A and Gonzalez R (2018) Is There a Best Alternative to Treating the Obstructed Upper Pole?Journal of Urology, VOL. 156, NO. 2S, (744-746), Online publication date: 1-Aug-1996.Ellsworth P, Lim D, Walker R, Stevens P, Barraza M and Mesrobian H (2018) Common Sheath Reimplantation Yields Excellent Results in the Treatment of Vesicoureteral Reflux in Duplicated Collecting SystemsJournal of Urology, VOL. 155, NO. 4, (1407-1409), Online publication date: 1-Apr-1996.Patil U and Mathews R (2018) Minimal Surgery with Renal Preservation in Anomalous Complete Duplicated Systems: Is it Feasible?Journal of Urology, VOL. 154, NO. 2, (727-728), Online publication date: 1-Aug-1995.Van Savage J and Mesrobian H (2018) Pediatric Urology: The Impact of Prenatal Sonography on the Morbidity and Outcome of Patients With Renal Duplication AnomaliesJournal of Urology, VOL. 153, NO. 3, (768-770), Online publication date: 1-Mar-1995.Coplen D and Duckett J (2018) The Modern Approach to UreterocelesJournal of Urology, VOL. 153, NO. 1, (166-171), Online publication date: 1-Jan-1995.Scherz H, Kaplan G, Packer M and Brock W (2018) Ectopic Ureteroceles: Surgical Management with Preservation of Continence—Review of 60 CasesJournal of Urology, VOL. 142, NO. 2 Part 2, (538-541), Online publication date: 1-Aug-1989. Volume 138Issue 5November 1987Page: 1207-1210 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Thomas K. Huisman More articles by this author George W. Kaplan More articles by this author William A. Brock More articles by this author Michael G. Packer More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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