Ureteroureterostomy irrespective of ureteral size or upper pole function: A single center experience

McLeod, Daryl J.; Alpert, Seth A.; Ural, Zeliha; Jayanthi, Venkata R.

doi:10.1016/j.jpurol.2014.05.003

Cited by 53 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a recent article, Mcleod et al . [ 20 ] reviewed their experience with 43 ureteroureterostomies of which 12 were done by laparoscopy. They concluded that the ureteroureterostomy is a safe and effective technique for the reconstruction of duplex anomalies, even with a massively dilated and poorly functioning upper pole moiety, with no identifiable negative effect on the lower pole system.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ipsilateral ureteroureterostomy for the management of children with duplication anomalies

Chandrasekharam

Jayaram

2015

J Indian Assoc Pediatr Surg

View full text Add to dashboard Cite

Aim:Ipsilateral ureteroureterostomy is an established method for the treatment of duplication anomalies in children. With the advent of pediatric laparoscopy, many urologic procedures in children are being performed using minimal access techniques. We present our experience with laparoscopic ipsilateral ureteroureterostomy (LIUU) for duplex anomalies.Patients and Methods:The data of children who underwent LIUU was reviewed for demographic parameters, clinical and operative details, follow-up and results.Results:Over 3 years period, LIUU was performed in eight children (age 6-60 months). Five children had complete ipsilateral duplication with ectopic upper moiety ureter, one child each had ipsilateral incomplete duplication and bilateral duplex systems (with ipsilateral ectopic upper moiety ureter). One child had ipsilateral complete duplex with Grade V vesicoureteric reflux into the lower moiety ureter. Four children had antenatal diagnosis of hydronephrosis; three children had a urinary infection and two children presented with urinary incontinence. The surgical procedure consisted of cystoscopy, retrograde studies and cannulation of the recipient ureter. Then, LIUU was performed using three ports. The ectopic (donor) ureter was divided at the pelvic brim; the recipient ureter was opened and end-to-side LIUU was performed with 5/0 vicryl stitches over a double J (DJ) stent placed in the recipient ureter. Bladder catheter was removed after 2 days, and DJ stent was removed after 4 weeks. At a mean follow-up of 19 months (3-36), all children are asymptomatic and continent, with a significant reduction in hydroureteronephrosis on ultrasound. The cosmetic results were excellent.Conclusion:LIUU is a safe and effective technique in the management of duplication anomalies in children. It could be performed with minimal blood loss, minimal postoperative pain, excellent cosmesis and good success.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic ipsilateral ureteroureterostomy for the management of children with duplication anomalies

Chandrasekharam

Jayaram

2015

J Indian Assoc Pediatr Surg

View full text Add to dashboard Cite

show abstract

“…Bei Kaliberdifferenzen beider Ureteren muss der dilatierte Oberpolureter entsprechend getapert werden [38] (▶ Abb. 9).…”

Section: Chirurgische Interventionelle Therapieunclassified

Urosepsis bei Kindern und Jugendlichen – konservative und operative Therapie

Oswald

2017

Aktuel Urol

View full text Add to dashboard Cite

Urinary tract infections (UTI) are the most common infectious diseases in children. Urosepsis in childhood, though rare, is the most complicated possible variant. In newborns and infants, unspecific symptoms are a significant barrier to a fast and reliable diagnosis, which is crucial to successful treatment. In addition to urine and laboratory tests as well as non-invasive examinations (ultrasound), there may be an indication for invasive examinations of the kidneys (DMSA scans) in cases of a severe infection. Conservative therapy consists of targeted parenteral antibiotic treatment and paediatric sepsis management. Surgical desobstruction and urinary diversion are indicated if conservative therapy has failed. In addition to catheterised drainage of the upper and lower urinary tract, open surgery techniques are used in due consideration of the child and situation. Also, causal factors such as congenital malformations of the urinary system leading to impaired urinary drainage (vesicoureteral reflux, obstruction) have to be evaluated and treated.

show abstract

“…Ancak tek başına tedavi edici girişim olarak sorunsuz herhangi bir pol üreterinin olduğu her durumda kullanılabilir (Örne-ğin obstrüksiyonu olan ya da VÜR'lü üst pol ürete-rini reflüsüz alt pol üreterine ya da üreteroselsiz çift toplayıcı sistemde VÜR'lü alt polü reflüsüz üst pole bağlama gibi). İpsilateral üreteroüreterostominin minimal invaziv tedavi yöntemlerinin arasına girmesinin nedeni son yıllarda bu ameliyatın laparoskopik ve daha da yakın zamanda robot yardımlı olarak yapılmasının yaygınlaşmasıdır (21)(22)(23)(24)(25)(26)(27)(28) . Teknik olarak proksimal ya da distal üreterlerde çalışılabilir (24,(26)(27)(28) .…”

Section: İpsilateral üReteroüreterostomiunclassified

“…Bu hastalarda mesane düzeyinde yapılacak girişimler ile ektopik üreteri mesane içine almaya çalışmak mesane boynu, vajen, vezikula seminalis gibi yapılara zarar verme riski taşır. İpsilateral üreteroüreterostomi yapılacak hastalarda gözetilen üst polün fonksiyone olması koşulu da, yerinde bırakılan nonfonksiyone üst sistemlerin sorun oluşturmaması nedeniyle geçer-liliğini yitirmektedir (20,25) .…”

Section: İpsilateral üReteroüreterostomiunclassified

Surgical treatment of ureterocele and ectopic ureters

Olguner¹

2016

tcdd

View full text Add to dashboard Cite

show abstract

Ureteroureterostomy irrespective of ureteral size or upper pole function: A single center experience

Cited by 53 publications

References 13 publications

Laparoscopic ipsilateral ureteroureterostomy for the management of children with duplication anomalies

Laparoscopic ipsilateral ureteroureterostomy for the management of children with duplication anomalies

Urosepsis bei Kindern und Jugendlichen – konservative und operative Therapie

Surgical treatment of ureterocele and ectopic ureters

Contact Info

Product

Resources

About