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Double ureter in children: surgical management
1University Clinic Children's Hospital of Teheran, Department of Paediatric Surgery, Iran.
Summary
Surgical management of double ureters with ureterocele involves various techniques like reimplantation and heminephrectomy. Most patients with these complex congenital urinary tract anomalies experienced satisfactory outcomes post-surgery.
Area of Science:
- Urology
- Pediatric Surgery
- Congenital Anomalies
Background:
- Double ureters and ureteroceles are congenital urinary tract anomalies.
- These conditions can lead to complications requiring surgical intervention.
Purpose of the Study:
- To review surgical strategies for managing double ureters associated with ureteroceles.
- To evaluate the outcomes of different surgical approaches.
Main Methods:
- Retrospective analysis of 25 surgical cases involving double ureters and ureteroceles.
- Surgical procedures included interpelvic anastomosis, en bloc reimplantation, heminephrectomy, and ureterocele excision.
Main Results:
- Various surgical techniques were employed based on the specific anomaly and associated reflux.
- Satisfactory follow-up results were reported in the majority of cases.
Conclusions:
- Surgical management of double ureters with ureteroceles is effective.
- Tailored surgical approaches lead to favorable patient outcomes.