[Ureteral replacement in newborn infants--case report]

Area of Science:

• Pediatric Urology
• Surgical Innovation
• Renal Function Preservation

Background:

• Congenital ureteric stenosis poses a significant risk to renal development.
• Effective surgical management is crucial for preserving kidney function in infants.
• The Culp-de-Weerd and Cohen reimplantation techniques are established urological procedures.

Observation:

• A 2-month-old infant presented with critical stenosis of the left ureter.
• A combined surgical approach utilizing a modified Culp-de-Weerd method and Cohen ureteric reimplantation was performed.
• The procedure addressed the ileopelvic segment of the ureter.

Findings:

• The surgical intervention demonstrated successful anatomical and functional restoration of the left kidney.
• Seven months post-operation, the left kidney exhibited normal anatomy and function.
• The combined technique proved effective in managing complex ureteric stenosis.

Implications:

• This surgical approach offers a viable solution for complex ureteric stenosis in pediatric patients.
• Preservation of renal anatomy and function is achievable with timely and appropriate surgical intervention.
• Further studies could explore long-term outcomes and refine surgical techniques for ureteric reconstruction.