Megaureter

Hendren, W. Hardy

doi:10.1007/978-1-4612-5907-7_26

Cited by 1 publication

(2 citation statements)

References 35 publications

(26 reference statements)

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“…In der I.v.-Urographie oder retrograden Pyelographie ist sehr häufig eine distale und eine pyeloureterale Stenose kombiniert, so daß sich für den Chirurgen die Frage ergibt, welche der beiden Stenosen nun zunächst behoben werden sollte (2).…”

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“…Komplikationen sind in der Megaureterchirurgie gering und die Erfolgsquote in der Analyse des eigenen Krankengutes hoch. Sicher sind in der Vergangenheit zu viele Ureterokutaneostomien durchgeführt worden, wo eine primäre Ureterstenosenresektion und Modellage zum Ziele geführt hätte (2). Ebenso scheint uns eine temporäre Nephrostomie ohne gleichzeitige Stenosenresektion nur in Fällen einer Pyonephrose oder schlechten Nierenfunktion indiziert.…”

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Chirurgie des kongenitalen Megaureters

Af¹,

Brülhart²

1988

Eur J Pediatr Surg

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Despite the wide use of the international classification of megaureters, there is a lack of clear concepts especially for congenital malformations. We performed a follow-up study in 132 children with 171 megaureters operated on during the past 13 years. In 24 additional cases reconstructive surgery was not feasible due to advanced damaging of the parenchyma. In 97% of 171 megaureters, resection of the distal stenosis and ureterocystoneostomy was successful. In 20%, additional ureteric tailoring was necessary. Only one patient had recurrent reflux, and reoperation for recurrent stenosis was indicated in less than 2.5%. Urographic studies revealed that postoperatively 38% of calices resumed a normal appearance, whereas 80% of the ureters were of normal caliber and had normal peristaltic activity. From this study it is concluded that ureteric stenosis should be treated operatively in refluxing and obstructive cases. As a rule, correction of bladder or urethral pathology does not obviate the need for ureter surgery.

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Chirurgie des kongenitalen Megaureters

Af¹,

Brülhart²

1988

Eur J Pediatr Surg

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Megaureter

Cited by 1 publication

References 35 publications

Chirurgie des kongenitalen Megaureters

Chirurgie des kongenitalen Megaureters

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