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[Primary obstructive megaureter- diagnosis and treatment]

S G Aprodu1, B Savu, D G Goţia

  • 1Clinica de Chirurgie şi Ortopedie Pediatrică, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|July 3, 2002
PubMed

Insights

This study shows that uretero-vesical reimplantation is effective for primary obstructive megaureter in children. Both Cohen and Leadbetter-Politano techniques achieved good outcomes in most cases.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation
  • Congenital Abnormalities

Background:

  • Primary obstructive megaureter (POM) is a congenital condition affecting the ureter.
  • It often requires surgical intervention in pediatric cases.
  • This study focuses on POM cases without associated vesicoureteric reflux.

Purpose of the Study:

  • To evaluate diagnostic and surgical options for primary obstructive megaureter in children.
  • To assess the efficacy of different uretero-vesical reimplantation techniques.
  • To report outcomes of surgical management for POM without reflux.

Main Methods:

  • Retrospective analysis of 13 pediatric cases with primary obstructive megaureter.
  • Surgical treatment involving uretero-vesical reimplantation (Cohen and Leadbetter-Politano techniques).
  • Ureteric folding was performed in two selected cases.

Main Results:

  • Both Cohen and Leadbetter-Politano reimplantation techniques demonstrated success.
  • Good final results were reported in 10 out of 13 treated cases.
  • Ureteric folding was an adjunct procedure in specific instances.

Conclusions:

  • Uretero-vesical reimplantation is a successful surgical approach for pediatric primary obstructive megaureter.
  • The choice between Cohen and Leadbetter-Politano techniques can be tailored to patient needs.
  • Conservative management with good outcomes is achievable for POM without reflux.

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