Related Experiment Video

Updated: Apr 11, 2026

An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
06:37

An Immature Murine Model of Reversible Unilateral Ureteral Obstruction

Published on: April 4, 2025

1.0K

Implications of paraureteral diverticulum for the management of vesicoureteral reflux

Young Jae Im1, Yong Seung Lee1, Sang Woon Kim1

  • 1Department of Pediatric Urology, Severance Children's Hospital, Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

International Journal of Urology : Official Journal of the Japanese Urological Association
|June 3, 2015
PubMed

Insights

Paraureteral diverticulum in children with vesicoureteral reflux is linked to delayed ureteral drainage and increased risk of recurrent urinary tract infections. This finding suggests a need for enhanced monitoring and treatment strategies for affected children.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Radiology

Background:

  • Vesicoureteral reflux (VUR) is a common condition in children.
  • Paraureteral diverticulum is a potential but often overlooked finding in VUR management.
  • The clinical significance of paraureteral diverticulum in VUR remains to be fully elucidated.

Purpose of the Study:

  • To investigate the clinical importance of paraureteral diverticulum in VUR management.
  • To analyze the association between paraureteral diverticulum and recurrent urinary tract infections (UTIs).
  • To evaluate the relationship between paraureteral diverticulum and delayed ureteral drainage.

Main Methods:

  • Retrospective review of 131 children diagnosed with VUR.
  • Diagnosis of VUR and paraureteral diverticulum using voiding cystourethrography.
  • Analysis of delayed ureteral drainage and recurrent UTIs in relation to paraureteral diverticulum.

Main Results:

  • Paraureteral diverticulum was present in 27.2% of refluxing ureters.
  • Ureters with paraureteral diverticulum showed significantly higher rates of delayed ureteral drainage (92.7%).
  • Paraureteral diverticulum was independently associated with delayed ureteral drainage (OR 11.47) and increased risk of recurrent UTIs (P=0.020).

Conclusions:

  • Paraureteral diverticulum in VUR patients increases the risk of recurrent febrile UTIs.
  • These findings highlight the clinical importance of identifying paraureteral diverticulum in VUR.
  • Consideration of more progressive surveillance and treatment protocols for these patients is recommended.
Abstract

Keywords:
bladderdiverticulumureterurinary tract infectionvesicoureteral reflux

More Related Videos

Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

12.2K
Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation03:51

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation

Published on: December 8, 2023

5.5K

Related Concept Videos

Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
453
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
895
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
3.0K
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
618
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
350
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
4.0K