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Blind-ending bifid ureters--report of five pediatric cases
P Alessandrini1, S Derlon, M Hajj
1Department of Pediatric Surgery, CHU Nord, Marseille, France.
European Urology
|January 1, 1992
Insights
Retrograde cystography is crucial for diagnosing blind-ending ureters in children. This diagnostic procedure should be the initial step in evaluating urinary tract abnormalities.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
Background:
- Blind-ending ureters are congenital anomalies that can lead to urinary tract complications.
- Accurate diagnosis is essential for appropriate management and prevention of secondary infections or renal damage.
Purpose of the Study:
- To highlight the diagnostic utility of retrograde cystography in identifying blind-ending ureters.
- To emphasize the importance of early implementation of this imaging technique in pediatric urinary tract evaluations.
Main Methods:
- Retrospective case series of 5 patients diagnosed with blind-ending ureters.
- Utilized Culp's criteria for classification of ureteral anomalies.
- Diagnosis confirmed via retrograde cystography demonstrating vesicoureteral reflux.
Main Results:
- Five cases of blind-ending ureters were identified.
- Vesicoureteral reflux was consistently observed, facilitating diagnosis via retrograde cystography.
- The procedure proved effective in all reported cases.
Conclusions:
- Retrograde cystography is a highly effective method for diagnosing blind-ending ureters in pediatric patients.
- This diagnostic approach should be prioritized as the initial step in the workup of suspected urinary tract abnormalities in children.
Abstract:
We report 5 cases of blind-ending ureters according to Culp's criteria. Occurrence of vesicoureteral reflux allowed us to make the diagnosis of retrograde cystography in all our patients. We wish to emphasize that this procedure must be done as the first step of urinary tract examination in children.