Ureteroureterostomy in complete ureteral duplication.

Area of Science:

• Urology
• Pediatric Surgery
• Surgical Innovation

Background:

• Complete duplication of the pyeloureteric tract is a congenital anomaly.
• This condition can lead to complications such as ureteroceles, reflux, and stenosis.
• Conservative surgical management is often preferred for these pediatric cases.

Purpose of the Study:

• To evaluate the efficacy of homolateral pelvic ureteroureterostomies.
• To assess this procedure as a primary surgical treatment for complete pyeloureteric tract duplication.

Main Methods:

• The study involved 25 patients with complete pyeloureteric tract duplication.
• Homolateral pelvic ureteroureterostomies were performed on all patients.
• Indications included ureteroceles, reflux, ectopic ureters, and postoperative stenosis.

Main Results:

• The procedure was successfully applied in various complex cases of duplicated ureters.
• Specific applications included 16 ureteroceles, 7 cases of reflux, 1 ectopic ureter, and 1 stenosis.
• The surgical outcomes demonstrated the versatility of the technique.

Conclusions:

• Homolateral pelvic ureteroureterostomies are considered the surgical treatment of choice.
• This technique offers a viable conservative surgical option for complete pyeloureteric tract duplication.