[Two cases of megaureter in children].

Area of Science:

• Pediatric Urology
• Surgical Reconstruction
• Renal Function Assessment

Background:

• Megaureter in children presents a significant clinical challenge.
• Optimal timing for surgical intervention remains a key consideration.
• Understanding the etiology of megaureter is crucial for effective management.

Observation:

• Two pediatric cases of unilateral megaureter were monitored.
• Urography and renoscintigraphy were employed to assess renal function and ureteral dilation.
• Longitudinal observation guided the decision-making process for surgical timing.

Findings:

• Reconstructive surgery, including ureteral tapering and reimplantation, yielded excellent results.
• Surgical intervention demonstrated sustained positive outcomes over a 5-year follow-up period.
• Diagnostic imaging proved valuable in determining the appropriate timing for surgical procedures.

Implications:

• Active surgical management is increasingly recommended for pediatric megaureter.
• Accurate diagnostic imaging aids in optimizing surgical timing and patient outcomes.
• Successful reconstructive techniques offer a viable long-term solution for megaureter in children.