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Related Experiment Videos

Upper pole heminephrectomy: is complete ureterectomy necessary?

N Ade-Ajayi1, D T Wilcox, P G Duffy

  • 1Department of Urology, The Great Ormond Street Hospital for Children, London, UK.

BJU International
|July 12, 2001
PubMed
Summary
This summary is machine-generated.

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Re-operation for a retained ureteric stump after upper pole heminephrectomy with incomplete ureterectomy occurred in 8% of cases. This suggests complete ureterectomy may not always be necessary for pediatric kidney surgery.

Area of Science:

  • Pediatric Urology
  • Surgical Outcomes
  • Renal Surgery

Background:

  • Upper pole heminephrectomy with incomplete ureterectomy is performed for specific pediatric renal anomalies.
  • The management of the distal ureter in these cases remains a subject of clinical discussion.

Purpose of the Study:

  • To evaluate the re-operation rate associated with a retained distal ureteric stump following upper pole heminephrectomy.
  • To assess the clinical significance of incomplete ureterectomy in pediatric patients.

Main Methods:

  • Retrospective review of case notes from a single institution.
  • Analysis of 60 cases of upper pole heminephrectomy with incomplete ureterectomy in children.
  • Evaluation of re-operation indications and outcomes.

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Main Results:

  • Eight percent (5 out of 60) of patients required re-operation for a redundant ureteric stump.
  • Indications for re-operation included recurrent urinary tract infections (UTIs) and prolapsed ureterocele.
  • Ultrasonographic evidence of a dilated ureteric stump was present in all patients requiring re-operation.

Conclusions:

  • The re-operation rate for a redundant ureteric stump in this series was 8%.
  • The potential risks of complete ureterectomy, including injury to the remaining ureter, may outweigh the benefits in select cases.