Related Experiment Videos
[Use of ureterocalicostomy in child]
E de la Peña1, J Caffaratti, E González de Cháves
1Unidad de Urología Pediátrica, Servicio de Urología, Fundació Puigvert, Barcelona.
Insights
Ureterocalicostomy successfully preserved renal units in pediatric patients with complex conditions like pyelocaliceal lithiasis and ureteropelvic stenosis. This surgical technique offers a safe and effective alternative for maintaining kidney function when standard procedures are challenging.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Renal Preservation
Background:
- Anastomosis of the renal pelvis and ureter can be challenging in pediatric cases.
- Organ preservation is critical, especially in children, and relies on available surgical resources.
Observation:
- Three pediatric patients (ages 1, 4, and 8) underwent ureterocalicostomy.
- Indications included pyelocaliceal lithiasis and secondary ureteropelvic stenosis.
Findings:
- All three renal units were preserved with a median follow-up of 12 months.
- Improved renal function was observed in cases of ureteropelvic obstruction; normal function was maintained in the lithiasis case.
- No immediate or long-term complications were reported.
Implications:
- Ureterocalicostomy is a viable alternative for compromised ureteropelvic continuity.
- This technique is suitable for managing infundibulopelvic stenosis in children.
- Successful ureterocalicostomy can prevent the loss of renal units in complex pediatric urological cases.
Introduction:
There are many clinical situations in wich it may be difficult to perform appropriately an anastomosis between the renal pelvis and the proximal portion of the uretersafely. Preservation of the organ depens upon the availability of surgical resources. In fact, that principle becomes particularipy significant when dealing with children.
Objectives:
To describe different clinical and surgical situations in wich the successful performance of ureterocalicostomy has enable us to maintain three renal units with function from child patients and without complications.
Method And Patients:
Three children aged 8, 4 and 1 year were submitted to surgery because of pyelocaliceal lithiasis in the first case and secundary ureteropelvic stenosis in the remaning two cases.
Results:
With a median follow-up of 12 months, all three renal units were preserved and, according to the isotopic study, functionality was improved in the two cases of ureteropelvic obstruction and the normal preoperative function was preserved in the first case. No complications occurred either during the immediate postoperative period or up to the date of this review.
Conclusion:
Ureterocalicostomy should be considered a suitable alternative in different clinical situations in wich the ureteropelvic continuity could be compromised, or in cases of indundibulopelvic stenosis.
Related Concept Videos
01:26Kidney Transplant II: Surgical Procedure
01:28Urinary Tract Calculi V: Nursing Management
01:25Urinary Tract Calculi VI: Surgical Management
01:30Urinary Tract Calculi III: Medical Management
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention