Conservative surgery of anomalies associated to the ureteral duplication: 40 years of experience

Authors

  • Francisco J. Fong Aldama Hospital Provincial Pediátrico Docente Eliseo Noel Caamaño. Matanzas
  • Víctor G. Ferreira Moreno Hospital Provincial Pediátrico Docente Eliseo Noel Caamaño. Matanzas

Keywords:

pediatric urology, ureteral duplicity, uretero-ureteral reflux, conservative surgery, uretero-pyelostomy, uretero-ureterostomy, pyelo-pyelostomy

Abstract

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.

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How to Cite

1.
Fong Aldama FJ, Ferreira Moreno VG. Conservative surgery of anomalies associated to the ureteral duplication: 40 years of experience. Rev Méd Electrón [Internet]. 2014 Apr. 1 [cited 2025 Jan. 23];34(2):214-22. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/951

Issue

Section

Presentation of cases