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Updated: Jul 2, 2026
14:05
A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
[Ureteral meatotomy associated with vesicostomy, a possible urinary derivation?]
I Fernández-Pineda1, F García Merino, M A Fernández Hurtado
1Sección de Urología Pediátrica, Servicio de Cirugía Pediátrica, Hospital Infantil Universitario Virgen del Rocío, Sevilla.
Summary
Ureteral meatotomy with vesicostomy effectively treats pediatric obstructive uropathy, improving ureteral dilation and renal function. This urinary diversion is a viable option when ureteral reimplantation is challenging.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Urinary Diversion
Context:
- Obstructive uropathy in children presents significant management challenges.
- Ureteral reimplantation can be complex in cases of severe ureteral dilatation.
- Urinary diversion strategies are crucial for preserving renal function.
Purpose:
- To evaluate the efficacy of ureteral meatotomy combined with vesicostomy for urinary diversion in pediatric patients.
- To assess the outcomes and complications of this surgical approach.
Summary:
- A review of 20 pediatric patients (1 month to 13 years) with conditions like neuropathic bladder, posterior urethral valves, and vesicoureteral stenosis who underwent ureteral meatotomy with vesicostomy.
- 100% demonstrated improved ureteral dilatation on ultrasound, and renal function improved in those with pre-existing renal failure.
- Complications included bladder prolapse, calculus formation, and postoperative bleeding.
Impact:
- Ureteral meatotomy with vesicostomy offers an effective urinary diversion for pediatric obstructive urological conditions with significant ureteral dilatation.
- This technique avoids bladder dysfunction and simplifies management, making it a valuable alternative to ureteral reimplantation.
- The procedure facilitates comfortable management of the vesicostomy using standard aids.
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