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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
14:05

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

Published on: December 20, 2014

[Ureteric valves: a report of two cases]

Y Nouira1, W Feki, Y Kallel

  • 1Service d'urologie, hôpital La Rabta, Tunis, Tunisie. nouirayassine@gnet.tn

Annales De Chirurgie
|April 29, 2006
PubMed

Insights

Ureteric valves, a rare cause of ureteric obstruction, present unique diagnostic and treatment challenges. This study details two cases, highlighting varied outcomes and informing management strategies for this congenital anomaly.

Area of Science:

  • Urology
  • Pediatric Urology
  • Congenital Malformations

Background:

  • Ureteric valves are uncommon congenital anomalies leading to ureteric obstruction.
  • Fifty cases have been documented in medical literature.
  • This study contributes two new cases to the existing body of knowledge.

Observation:

  • A 12-year-old child presented with multiple ureteric valves and bilateral vesicoureteric reflux, experiencing renal failure post-uretero-ileoplasty.
  • A 30-year-old woman developed acute pyelonephritis due to a proximal ureteric valve, successfully treated with ureteric resection-anastomosis.

Findings:

  • The diverse clinical presentations and outcomes underscore the complexity of managing ureteric valves.
  • Surgical intervention, including uretero-ileoplasty and ureteric resection-anastomosis, yielded different results in the presented cases.
  • Literature review supports varied therapeutic approaches based on valve location and associated complications.

Implications:

  • Early diagnosis and tailored treatment are crucial for improving outcomes in patients with ureteric valves.
  • Understanding the epidemiology, etiology, and diagnostic nuances is essential for effective clinical management.
  • Further research into optimal surgical techniques and long-term follow-up is warranted for this rare condition.

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