Conservative surgery of anomalies associated to the ureteral duplication: 40 years of experience
Keywords:
pediatric urology, ureteral duplicity, uretero-ureteral reflux, conservative surgery, uretero-pyelostomy, uretero-ureterostomy, pyelo-pyelostomyAbstract
Objective: To expose the experience of the Urology Service of the Teaching Pediatric Provincial Hospital, in the treatment of the anomalies associated with the ureteral duplication.Methods: We retrospectively reviewed the medical records of 378 patients with Ureteral Duplication attended in our center in the period 1970-2010; the surgical treatment was applied in 26 cases, and 6 of them were pediatric cases; the last ones are analyzed in this work, taking into account data obtained from the Clinical Documentation Database of the centers involved. The conservative surgery (uretero-pyelostomy) was carried out in 5 patients of the 6 cases and in the other 1 case, an upper pole we made upper pole nephrectomy.
Results: The ureteral duplication is a frequent pathology that determines a urinary stasis. The extra-vesical bifid ureter causes uretero-ureteral reflux.
Conclusions: This surgical procedure is useful in the anomalies associated with the ureteral duplication. It should not be used when there are not possibilities of conserving the renal parenchyma.
Downloads
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.