Traitement chirurgical du méga-uretère

Abstract

Between 1960 and 1970, 61 megaureters, in 34 patients, were operated. The condition is extremely serious, and its etiology is to be established before proceeding to reconstructive surgery. Best results are found in primary megaureter unaccompanied by reflux operated by the extravesical method of Gregoir.

A Review of Ninety-Two Obstructive Megaureters in Children

“…Fowler and Kesavan [21]state that the junctional segment creates a tilt-valve mechanism with the inner aspect of the lumen of the lower ureter excentrically placed into the more dilated upper pole; local widening should be sufficient to solve the obstruction. Perovic [22]and Arap et al [23]applied a detrusor tunnelling extravesical technique in obstructive primary megaureters with good results. Constantini et al [24]applies the French trousers technique making two ureters of one dilated ureter and reimplants both ureters in the bladder.…”

Nonrefluxing Colonic Conduit

“…The supravesical urinary diversions, with intestinal loops can lead to posterior-deterioration of the superior urinary tract [10,13,14]. Vesicoureteral reflux is consid ered as one of the most important causes of pyelonephri tis and, hence, of the deterioration of the superior urinary tract [1,2,9]. Consequently, the surgical prevention of this reflux is of greatest importance.…”

“…The ileal-ureteral free reflux is characteristic of successful ureterointestinal Exenterations were found mostly in children aged 1 anastomosis in the ileal conduit, and it contributes year or below and were certainly related to an excessive greatly to the detriment of the renal function as a result of abdominal effort due to crying. Necrosis of the stoma was the ascending infection and of the increase in pressure in initially treated clinically; later, a catheter for drainage the excretory system [1], The obstruction of the ileal stowas placed in the urinary passage for a period of 2 ma, which is a frequent complication in Bricker's [5] techmonths; finally, the stoma was reconstructed. The other nique, tends to aggravate these effects [4] 128 renoureteral units.…”