The appendix as ureteral substitute: a report of 10 cases
Haitham Dagash1, Sudipta Sen, Jacob Chacko
1Department of Paediatric Urology, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, UK. haitham.dagash@sch.nhs.uk
Journal of Pediatric Urology
|July 18, 2008
Summary
Appendix surgery successfully restored ureteric continuity in children, preserving kidney function in most cases. This technique offers a viable solution for ureteric replacement in pediatric patients.
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Appendiceal Substitution
Background:
- Ureteric replacement in children is uncommon.
- The appendix is explored as a substitute for partial or total ureteric replacement.
Observation:
- Ten pediatric patients (2.5 months to 12 years) underwent ureteric substitution with the appendix between 2002-2007.
- Indications included ureteric avulsion, stenosis, and strictures.
- The appendix was used anti-peristaltically in all cases.
Findings:
- Nine out of ten patients maintained preserved renal function at a median follow-up of 16 months.
- One patient experienced kidney function deterioration.
- Appendiceal ureteric substitution demonstrated success in restoring ureteric continuity.
Implications:
- Appendix substitution is a successful method for ureteric reconstruction in children.
- This approach can preserve renal function, even in infants.
- Successful ureteric continuity restoration is achievable using the appendix.
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