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[Megaureters in adults].

M Nakamura, T Sakurai, Y Tada

    Hinyokika Kiyo. Acta Urologica Japonica
    |August 1, 1983
    PubMed
    Summary
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    Megaureters are rare in adults but treatable with surgical reconstruction. This study highlights successful outcomes in seven adult megaureter cases, emphasizing surgical repair for improved results.

    Area of Science:

    • Urology
    • Pediatric Urology
    • Adult Urology

    Background:

    • Megaureters are frequently diagnosed in children but seldom identified in adults due to subtle clinical presentations.
    • Surgical reconstruction for adult megaureters was historically uncommon, with limited case reports available.
    • This study addresses the infrequent occurrence and management of megaureters in the adult population.

    Observation:

    • Seven adult patients with seven megaureters were identified over a six-year period.
    • Underlying causes included non-peristaltic lower ureter segments, ectopic ureters, and ureterovesical junction stenosis.
    • Six of the seven patients underwent complete surgical reconstruction and ureteral reimplantation.

    Findings:

    • All seven adult megaureter cases were successfully managed.

    Related Experiment Videos

  • Surgical reconstruction and reimplantation yielded excellent outcomes in the treated patients.
  • The study demonstrates the efficacy of surgical intervention for adult megaureters.

    • Implications:

    • Adult megaureters, though rare, are amenable to surgical correction with favorable results.
    • This research may encourage earlier consideration of surgical options for symptomatic adult megaureters.
    • Further investigation into the long-term outcomes of adult megaureter reconstruction is warranted.